ArticleJournal of clinical medicine2020
Revision Arthroplasty Through the Direct Anterior Approach Using an Asymmetric Acetabular Component.
Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Comparative analysis of surgical approaches in total hip arthroplasty: a systematic review of comparative outcomes including primary and revision cases.Journal of orthopaedic surgery and research · 2026Pooled it
- A systematic review on revision total hip arthroplasty employing the direct anterior approach.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Custom-Made Monoflange Acetabular Component for Revision Hip Arthroplasty in Paprosky Type IIIA Defect: A Case Report.Journal of orthopaedic case reports · 2026Article
- Implantation Accuracy of Custom-Made Acetabular Components With Iliac Stem Fixation for Large Bone Defects in Hip Revision Surgery.Orthopaedic surgery · 2025Article
- Article
- Functional Outcome after Direct Anterior Approach Total Hip Arthroplasty (DAA-THA) for Coxa Profunda and Protrusio Acetabuli-A Retrospective Study.Journal of clinical medicine · 2024Article
- A low dislocation rate after revision total hip arthroplasty performed through the anterior approach.Arthroplasty (London, England) · 2023Article
- Acetabular defect management and revision arthroplasty via the direct anterior approach.Operative Orthopadie und Traumatologie · 2022Article
- The Analysis of Polyethylene Hip Joint Endoprostheses Strength Parameters Changes after Use inside the Human Body.Materials (Basel, Switzerland) · 2021Article
- Short stem hip arthroplasty via the minimally invasive direct anterior approach.Operative Orthopadie und Traumatologie · 2021Article
- Custom Made Monoflange Acetabular Components for the Treatment of Paprosky Type III Defects.Journal of personalized medicine · 2021Article
- Femoral Revision Total Hip Arthroplasty Performed through the Interval of the Direct Anterior Approach.Journal of clinical medicine · 2021Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite increasing numbers of primary hip arthroplasties performed through the direct anterior approach (DAA), there is a lack of literature on DAA revision arthroplasty. The present study was performed in order to evaluate outcomes and revision rates after revision through the DAA using an asymmetric acetabular component with optional intra- and extramedullary fixation. In a retrospective cohort study, we analyzed prospectively collected data of 57 patients (61 hips, 43 female, 18 male) who underwent aseptic acetabular component revision through the DAA with the abovementioned implant system between January 2015 and December 2017. The mean follow-up was 40 months (12-56). Survival rates were estimated using the Kaplan-Meier method. All complications were documented and functional outcomes were assessed pre- and postoperatively. Kaplan-Meier analysis revealed an estimated five-year implant survival of 97% (confidence interval CI 87-99%). The estimated five-year survival with revision for any cause was 93% (CI 83-98%). The overall revision rate was 6.6% (n = 4). Two patients had to undergo revision due to periprosthetic infection (3.3%). In one patient, the acetabular component was revised due to aseptic loosening four months postoperatively. Another patient suffered from postoperative iliopsoas impingement and was treated successfully by arthroscopic iliopsoas tenotomy. Two (3.3%) of the revised hips dislocated postoperatively. The mean Harris Hip Score improved from 35 (2-66) preoperatively to 86 (38-100) postoperatively (
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