ReviewArthroplasty (London, England)2022
The direct anterior approach to the hip: a useful tool in experienced hands or just another approach?
Review in Arthroplasty (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 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
17 citing papers in PubMed.
- Efficacy and Safety of Liposomal Bupivacaine in Direct Anterior Approach Total Hip Arthroplasty: A Retrospective Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2026Observational
- Comparison of Capsular Closure and Capsulectomy in Primary Total Hip Arthroplasty Using the Direct Anterior Approach.Revista brasileira de ortopedia · 2026Article
- [Comparison of Capsular Closure and Capsulectomy in Primary Total Hip Arthroplasty Using the Direct Anterior Approach].Revista brasileira de ortopedia · 2026Article
- Clinical and radiographic factors associated with surgical approach selection in total hip arthroplasty: a preliminary machine learning analysis.Frontiers in surgery · 2026Article
- The Rise of Minimally Invasive "DAA" Hip Replacements: Hype, Hope, and Reality.Journal of orthopaedic case reports · 2025Article
- Direct anterior approach for femoral neck fractures: Why and how?Journal of clinical orthopaedics and trauma · 2025Article
- Assessing Sexual and Functional Outcomes After Direct Anterior Approach Total Hip Arthroplasty: Insights from a Retrospective Study.Indian journal of orthopaedics · 2025Article
- The anatomical course of the sciatic nerve in relation to different approaches in total hip arthroplasty.International orthopaedics · 2024Article
- Should we be concerned when the anterior approach to the hip goes accidentally medial? A retrospective study.Arthroplasty (London, England) · 2024Article
- Review
- Are Routine Postoperative Hemoglobin Tests Justified in All Patients Who Undergo Total Hip Arthroplasty Due to a Displaced Femoral Neck Fracture?Journal of clinical medicine · 2024Article
- Which approach of total hip arthroplasty is the best efficacy and least complication?World journal of orthopedics · 2024Article
- Does Body Mass Index (BMI) Affect the Reconstruction of Biomechanical Parameters in Patients Undergoing Total Hip Replacement (THR) through the Direct Anterior Approach (DAA)?Journal of clinical medicine · 2024Article
- The Direct Anterior Approach (DAA) as a Standard Approach for Total Hip Arthroplasty (THA) in Coxa Profunda and Protrusio Acetabuli? A Radiographic Analysis of 188 Cases.Journal of clinical medicine · 2023Article
- Surgical treatment and functional outcome of bilateral symmetrical hip dislocation and Pipkin type II femoral head fracture: a 5-year follow-up case report and literature review.Frontiers in surgery · 2023Article
- Common peroneal nerve palsy after primary total hip arthroplasty.International orthopaedics · 2022Article
- Direct anterior approach in total hip arthroplasty: more indications and advantages than we found.Arthroplasty (London, England) · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The direct anterior approach (DAA) to the hip was initially described in the nineteenth century and has been used sporadically for total hip arthroplasty (THA). However, recent increased interest in tissue-sparing and small incision arthroplasty has given rise to a sharp increase in the utilization of the DAA. Although some previous studies claimed that this approach results in less muscle damage and pain as well as rapid recovery, a paucity in the literature exists to conclusively support these claims. While the DAA may be comparable to other THA approaches, no evidence to date shows improved long-term outcomes for patients compared to other surgical approaches for THA. However, the advent of new surgical instruments and tables designed specifically for use with the DAA has made the approach more feasible for surgeons. In addition, the capacity to utilize fluoroscopy intraoperatively for component positioning is a valuable asset to the approach and can be of particular benefit for surgeons during their learning curve. An understanding of its limitations and challenges is vital for the safe employment of this technique. This review summarizes the pearls and pitfalls of the DAA for THA in order to improve the understanding of this surgical technique for hip replacement surgeons.
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Registered trials
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.