Evidence map›Paper›PMID 40874984›Full record

ReviewOrthopadie (Heidelberg, Germany)2025

Approach-specific complication management in direct anterior approach total hip arthroplasty.

Salome Hagelstein, Lennart Marvin Schröder, Florian Pachmann, Dominic Simon, Boris Michael Holzapfel, Gautier Beckers

Abstract readReview
PubMed Publisher
In one paragraph

Review in Orthopadie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Salome HagelsteinKlinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Universitätszentrum München (MUM), LMU Klinikum, Marchioninistraße 15, 81377, München, Germany.
Lennart Marvin SchröderKlinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Universitätszentrum München (MUM), LMU Klinikum, Marchioninistraße 15, 81377, München, Germany.
Florian PachmannKlinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Universitätszentrum München (MUM), LMU Klinikum, Marchioninistraße 15, 81377, München, Germany.
Dominic SimonKlinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Universitätszentrum München (MUM), LMU Klinikum, Marchioninistraße 15, 81377, München, Germany.
Boris Michael HolzapfelKlinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Universitätszentrum München (MUM), LMU Klinikum, Marchioninistraße 15, 81377, München, Germany. boris.holzapfel@med.uni-muenchen.de.
Gautier BeckersKlinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Universitätszentrum München (MUM), LMU Klinikum, Marchioninistraße 15, 81377, München, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The direct anterior approach (DAA) has become increasingly established in primary total hip arthroplasty due to its muscle-sparing access, low dislocation rates and fast rehabilitation. At the same time, it requires a nuanced approach to complication management. This article addresses common DAA-specific challenges and outlines strategies for treatment, involving distal and proximal surgical approach extensions and strategies for fracture management through the same approach. With appropriate techniques even complex revisions of the femur and acetabulum can be performed via the DAA and its extensions. For experienced surgeons, this approach thus provides a safe and effective option, even in revision settings.

Indexed as

Arthroplasty, Replacement, HipPostoperative ComplicationsAcetabulumHip ProsthesisHumansReoperationDirect anterior approachHip jointPeriprosthetic fractureRevision arthroplastySurgical approach extension

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.