Evidence map›Paper›PMID 39801769›Full record

ArticleArthroplasty today2025

Preoperative Predictors of Soft Tissue Releases Required for Femoral Exposure in Direct Anterior Total Hip Arthroplasty.

Michael S Barnum, Bryan M Grommersch, Samuel Hovland, George J Haidukewych, Cody C Green

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Michael S BarnumOrlando Health Jewett Orthopedic Institute, Orlando, FL, USA.
Bryan M GrommerschOrlando Health Jewett Orthopedic Institute, Orlando, FL, USA.
Samuel HovlandUniversity of Central Florida College of Medicine, Orlando, FL, USA.
George J HaidukewychOrlando Health Jewett Orthopedic Institute, Orlando, FL, USA.
Cody C GreenOrlando Health Jewett Orthopedic Institute, Orlando, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sequential soft tissue releases are utilized in direct anterior approach (DAA) total hip arthroplasty (THA) as incomplete femoral exposure may lead to complications. This study identifies patient-specific parameters associated with soft tissue releases required for femoral exposure. Methods: A retrospective review was conducted on 133 patients (150 hips) who underwent primary THA via DAA with a single surgeon. Preoperative radiographic measurements included ilium-ischial ratio (IIR), anterior superior iliac spine to tip of the greater trochanter (AGT), femoral neck-shaft angle (FNA), and articulotrochanteric distance (ATD). Operative reports were reviewed and a multinomial logistic regression model was conducted to identify associations of soft tissue releases. Results: Among patients, 12 (8%) had no release, 94 (62%) had conjoined release, 44 (29%) had conjoined and piriformis releases. Multivariate analysis revealed IIR (OR [odds ratio] 1.68, Conclusions: Patients with increased ilium to ischial ratio, right laterality, and larger BMI were associated with greater number of soft tissue releases for adequate femoral exposure. Surgeons may consider these factors to anticipate femoral releases or challenging femoral exposure in direct anterior total hip arthroplasty.

Indexed as

Direct anterior approachFemoral exposureRadiographic predictorsTotal hip arthroplasty

Identifiers

PMID39801769
PMCPMC11714675

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Registered trials

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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.