ArticleArthroplasty today2021
Does Structured Postgraduate Training Affect the Learning Curve in Direct Anterior Total Hip Arthroplasty? A Single Surgeon's First 200 Cases.
Article in Arthroplasty today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed.
- Direct anterior vs. posterior approach in hip arthroplasty: A systematic review and meta-analysis for Asian demographics.Journal of clinical orthopaedics and trauma · 2025Article
- Clinical efficacy of direct anterior approach versus posterior lateral approach for total hip replacement in middle-aged and elderly patients of femoral neck fracture.Scientific reports · 2025Article
- Optimizing Acetabular Positioning: A Comprehensive Review of Contemporary Strategies in Total Hip Arthroplasty.Cureus · 2024Review
- First 100 total hip arthroplasties performed by a young surgeon using the direct anterior approach: learning curve and complications.Archives of orthopaedic and trauma surgery · 2024Article
- A neck-sparing short stem shows significantly lower blood loss in total hip arthroplasty compared to a neck-resecting short stem.Scientific reports · 2023Article
- Total Hip Arthroplasty Learning Curves Based on Approach for New Fellowship-trained Surgeons.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- The direct anterior approach to the hip: a useful tool in experienced hands or just another approach?Arthroplasty (London, England) · 2022Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe direct anterior approach (DAA) used for primary total hip arthroplasty has been shown to improve early postoperative outcomes, but prior studies have identified a marked learning curve for surgeons transitioning to this approach. However, these studies do not capture surgeons with postgraduate fellowship training in DAA. Therefore, the purpose of this study was to evaluate the learning curve by comparing perioperative outcomes for the first 100 to latter 100 cases and first 50 to final 50 cases.
methodsThe first 200 consecutive primary total hip arthroplasties performed by a single surgeon were prospectively followed up for up to 2 years postoperatively. Data on demographic and perioperative factors, 90-day readmissions, and short- and long-term complications were collected. Radiographic outcomes included acetabular cup anteversion and abduction measurements. Logistic regressions were used to calculate odds ratios and confidence intervals for surgical time greater than 2 hours.
resultsThe first 100 and second 100 cases had significant differences in operative times (118.1 vs 110.4 minutes,
conclusionsWhen compared with the existing literature, incorporation of DAA into fellowship training can lead to reduction in fractures and reoperation rates.
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Registered trials
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