Evidence map›Paper›PMID 40167818›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Anterior total hip arthroplasty is associated with lower risk of revision but higher odds of delayed wound healing.

Omar A Sarhan, Nareena Imam, Harlan B Levine, Roberta E Redfern, Anna N Ren, Ari Douglas Seidenstein, Gregg R Klein

Registry-linked trialAbstract read
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In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03737149 (A Prospective Multicenter Longitudinal Cohort Study of the Mymobility Platform), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03737149 nacompletednot on this map

A Prospective Multicenter Longitudinal Cohort Study of the Mymobility Platform

TypeinterventionalSponsorZimmer BiometRan2018 to 2025Enrolled6,559ConditionsOsteoarthritis, Knee, Osteoarthritis, HipArmsmymobility with Apple Watch
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

7 authors.

Omar A SarhanRothman Orthopaedic Institute, Philadelphia, PA, USA.
Nareena ImamRothman Orthopaedic Institute, Philadelphia, PA, USA.
Harlan B LevineRothman Orthopaedic Institute, Philadelphia, PA, USA.
Roberta E RedfernZimmer Biomet, 345 E Main St, Warsaw, IN, 46580, USA. Roberta.redfern@zimmerbiomet.com.ORCID http://orcid.org/0000-0001-9883-2910
Anna N RenZimmer Biomet, 345 E Main St, Warsaw, IN, 46580, USA.
Ari Douglas SeidensteinRothman Orthopaedic Institute, Philadelphia, PA, USA.
Gregg R KleinRothman Orthopaedic Institute, Philadelphia, PA, USA.

Funding

Zimmer Biomet 1389
6 · The paper itself

Abstract

backgroundThe direct anterior approach (DAA) to total hip arthroplasty (THA) has increased in popularity, given the potential for improved post-operative recovery. Patient selection is cited as a factor in complication rates compared to the posterior approach (PA). We compared complications by approach, controlling for relevant baseline characteristics.

methodsThis is a secondary data analysis from a prospective cohort patient study prescribed a smartphone-based care management platform following THA. Baseline patient characteristics were collected pre-operatively and included in logistic regression models investigating the impact of surgical approach with THA-related adverse events including intraoperative periprosthetic fracture, delayed wound healing, and revision surgery.

resultsIn total, 1722 patients were included in analysis; 664 (37.4%) underwent THA via DAA. Pre-operative characteristics including age, HOOS JR, and sex were similar between approach groups, patients undergoing anterior THA had lower comorbidities (p = 0.04) and BMI (p = 0.015). Considering baseline characteristics, anterior approach was associated with reduced odds of revision (OR 0.37, 95%CI 0.12-0.90, p = 0.045). Delayed wound healing occurred more frequently in the anterior approach (OR 3.03, 95%CI 1.39-6.97, p = 0.006), and was associated with BMI (OR 1.10, 95% CI 1.04-1.17, p = 0.002).

conclusionsThis data demonstrated the DAA was associated with lower odds of revision and an increased risk of delayed wound healing. These must be considered when determining the surgical approach, particularly given the effects of BMI on wound healing.

Indexed as

Arthroplasty, Replacement, HipPostoperative ComplicationsReoperationWound HealingAgedFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsAnterior approachComplicationsPosterior approachRevisionTotal hip arthroplasty

Identifiers

PMID40167818

What OpenQuestion holds

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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.