ReviewJournal of orthopaedics2025
Direct anterior approach versus posterior approach in total hip arthroplasty: A systematic review and meta-analysis.
Review in Journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparative analysis of surgical approaches in total hip arthroplasty: a systematic review of comparative outcomes including primary and revision cases.Journal of orthopaedic surgery and research · 2026Pooled it
- Fluoroscopy Computer Navigation Versus Manual Fluoroscopic Acetabular Positioning in Direct Anterior Total Hip Arthroplasty: Safe Zone Compliance and Learning Curve Analysis.Arthroplasty today · 2026Article
- Review
- Geriatric Total Hip Arthroplasty: Fixation Strategies, Approaches and Outcomes.Journal of orthopaedics and sports medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The optimal surgical approach for total hip arthroplasty (THA) is still debated. Recently, a growing surgical trend toward the utilization of minimally invasive techniques, such as the direct anterior approach (DAA), has emerged in the THA area. However, there are ongoing concerns regarding its technical complexity and perioperative outcomes relative to the posterior approach (PA). Therefore, we aim to compare DAA and PA regarding perioperative, functional, and safety outcomes. Methods: A comprehensive systematic search of PubMed, Web of Science, Scopus, and Cochrane Library was executed. We included randomized controlled trials (RCTs) and observational studies comparing DAA and PA in patients undergoing THA. The primary endpoints were all-cause surgery revision, dislocation, and fracture. Secondary endpoints encompassed the duration of hospital stay, incision length, functional recovery measured using the Harris Hip Score (HHS), and complications. Mean difference (M.D.) or Risk ratio (R.R.) with a 95 % confidence interval (C.I.) were employed to analyse the continuous or dichotomous outcomes. Results: 27 studies constituted our meta-analysis, including 44,477 patients Conclusion: Our meta-analysis highlighted that DAA is effective as PA in mitigating the risk of major complications following THA, such as all-cause surgery revision, dislocation, and fracture. In contrast, DAA showed better perioperative results, including shorter hospital stays and incision lengths, without compromising the safety outcomes compared to PA.
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Registered trials
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