Evidence map›Paper›PMID 34824723›Full record

ArticleIndian journal of orthopaedics2021

Acetabular and Femoral Component Positioning Using Direct Anterior Approach Versus Posterior Approach in Total Hip Arthroplasty.

Tarun Goyal, Arghya Kundu Choudhury, Souvik Paul, Tushar Gupta, Lakshmana Das

Abstract read
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Article in Indian journal of orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Tarun GoyalDepartment of Orthopaedics, All India Institute of Medical Sciences, Bathinda, 151001 Punjab India.ORCID 0000-0002-1428-9947
Arghya Kundu ChoudhuryDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0002-8829-1206
Souvik PaulDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0002-1172-3664
Tushar GuptaDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0002-6821-7594
Lakshmana DasDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0002-2720-6389

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDirect anterior approach (DAA) has recently become popular in total hip arthroplasty (THA). However, irrespective of the surgical approach used, component malposition is an important factor affecting function and complications after THA. This study aims to compare component positioning on the femoral and acetabular side between DAA and posterior approach (PA) to the hip joint. We hypothesized that the two approaches are similar in terms of component positioning.

methodsWe prospectively studied 50 patients, matched according to age, sex, and body mass index, undergoing THA, divided non-randomly into 2 groups. Group 1 comprised 25 patients (35 hips) undergoing THA using DAA and group 2 comprised 25 patients (25 hips) undergoing THA using PA. Ten patients from group 1 had simultaneous bilateral THA. Radiological parameters studied were acetabular inclination (AI), coronal femoral stem alignment (CFA), leg length difference (LLD), acetabular cup version (AV), and femoral stem version (FV).

resultsThere was no significant difference in AI, CFA, LLD, AV, and FV between the two groups. Excellent to good inter and intra-observer reliability expressed in terms of intraclass correlation coefficient (ICC) was noted for all the radiographic measurements.

conclusionBoth DAA and PA for THA achieve comparable radiological component positioning. DAA may not provide any advantage over PA in terms of positioning of the prosthesis. LEVEL OF EVIDENCE: Level II, non-randomized comparative study.

Indexed as

Acetabular anteversionAcetabular inclinationDirect anterior approachHip arthroplastyLeg length differencePosterior approach

Identifiers

PMID34824723
PMCPMC8586307

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.