ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025
Does surgical approach matter? Evaluating patient-reported outcomes in bilateral staged total hip arthroplasty.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Intraoperative acetabular periprosthetic fracture (IAPF) in total hip arthroplasty: a systematic review of outcomes and complications in conservative and surgical treatment.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Direct anterior approach versus posterolateral approach hemiarthroplasty for treating femoral neck fractures in the elderly: a prospective controlled study.Journal of orthopaedic surgery and research · 2025Trial
- Is the use of primary cementless stem in revision total hip arthroplasty a reliable option? A systematic review.Musculoskeletal surgery · 2026Review
- Lessons from the learning curve of the direct anterior approach in total hip arthroplasty: a systematic review.Musculoskeletal surgery · 2026Review
- The use of short cementless femoral stems in total hip arthroplasty for femoral neck fractures: a scoping review of the literature.Musculoskeletal surgery · 2026Article
- A novel iliofemoral classification for assessing surgical difficulty in direct anterior approach total hip arthroplasty: a retrospective cohort study.BMC musculoskeletal disorders · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study examines the impact of surgical approach on patient-reported outcomes in staged bilateral total hip arthroplasty (THA) performed in same patient using two different approaches: the direct anterior approach (DAA) on one side and posterolateral approach (PL) on other side.
methodsA retrospective analysis of 41 patients evaluated pain relief and functional outcomes using patient-reported outcome measures (PROMs) at 7 days, 6 months, and 12 months postoperatively.
resultsThe DAA demonstrated significantly better pain relief and functional outcomes during the first 7 days after surgery. However, no significant differences were found between the two approaches in long-term outcomes at 6 and 12 months.
conclusionWhile the DAA may provide early recovery advantages, both approaches achieve comparable long-term results. The DAA could be a preferable option for patients prioritizing quicker recovery. Further research with larger sample sizes is warranted to confirm these findings and explore patient preferences.
Indexed as
Identifiers
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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.