SynthesisFrontiers in surgery2025
Comparison of direct anterior vs. posterior approach in primary total hip arthroplasty: a systematic review and meta-analysis on enhanced recovery after surgery.
Synthesis in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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
3 citing papers in PubMed.
- Case Report: Combined posterolateral and direct anterior approaches for total hip arthroplasty in osteonecrosis of the femoral head with a rare massive osteophyte with literature review.Frontiers in surgery · 2026Article
- Geriatric Total Hip Arthroplasty: Fixation Strategies, Approaches and Outcomes.Journal of orthopaedics and sports medicine · 2026Article
- Research Trends and Knowledge Evolution of Surgical Approaches in Primary Total Hip Arthroplasty: A Bibliometric Analysis.Inquiry : a journal of medical care organization, provision and financingReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: This meta-analysis aimed to compare the direct anterior approach (DAA) and posterior approach (PA) for total hip arthroplasty (THA) within the context of enhanced recovery after surgery (ERAS). Methods: Studies comparing DAA and PA for THA were systematically retrieved from PubMed, Embase, Web of Science, Cochrane Library, and Google Scholar databases, covering the period from 2012 to 2024. A meta-analysis was conducted to compare the ERAS-related outcomes between DAA and PA for THA using RevMan 5.3 software, including surgical trauma, muscle damage, functional recovery, and complications. Heterogeneity was considered significant if Results: A total of 48 studies, including 46,367 hips (13,285 in the DAA group and 33,082 in the PA group), were included. Compared with PA, DAA was associated with significantly lower blood transfusion rates [6.62% vs. 14.52%; odds ratio (OR) = 0.73; 95% CI: 0.59-0.91; Conclusion: Within the framework of ERAS, the DAA was found to be associated with reduced muscle damage, fewer postoperative complications, and improved functional recovery compared with the PA in patients undergoing THA. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/recorddashboard.
Indexed as
Identifiers
What OpenQuestion holds
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.