Article
Medicine, General & Internal
Martin Thaler, Dietmar Dammerer, Michael Ban, Hermann Leitner, Ismail Khosravi, Michael Nogler
Summary: The study reports clinical outcomes for femoral revision total hip replacement using the Direct Anterior Approach, showing similar results with other surgical approaches in terms of clinical outcomes and complications.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Leonard T. Buller, Luke G. Menken, Evan J. Hawkins, Marcel A. Bas, Gilbert C. Roc, H. John Cooper, Jose A. Rodriguez
Summary: This study evaluated the occurrence, natural history, treatment response, and risk factors for AIPI after DAA THA. Findings suggest that AIPI often improves with conservative measures, and predisposing factors include female gender, small native femoral head diameter, and acetabular component overhang.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Jacob M. Wilson, Matthew L. Hadley, Cameron K. Ledford, Joshua S. Bingham, Michael J. Taunton
Summary: This study evaluated the risk factors, reoperations, and revisions in patients who developed superficial wound dehiscence following direct anterior approach total hip arthroplasty (DAA THA). It was found that higher body mass index and female gender were associated with superficial wound dehiscence. However, proper management reduced the risk of revision THA and periprosthetic joint infection for these patients.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Andrew Campbell, Ahmed K. Emara, Alison Klika, Nicolas S. Piuzzi
Summary: THA implant characteristics do not directly affect inadequate improvement in pain and function, surgeons should choose implants with a stable track record and restore hip biomechanics.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2021)
Article
Medicine, General & Internal
Ron Ben Elyahu, Nissim Ohana, Eltaieb Agabaria, Ahmad Biadsi, David Segal, Eyal Yaacobi, Ezequiel Palmanovich, Michael Markushevich, Yaron Shraga Brin
Summary: This study compared the outcomes of two different approaches, DAA and DLA, for treating displaced femoral neck fractures in active elderly patients. The results showed that patients who underwent DAA had better short-term outcomes, with shorter hospital stays and potential cost savings in terms of rehabilitation and medical expenses.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Guanjun Sun, Yi Yin, Yongjie Ye, Qingshan Li
Summary: This study analyzed the relationship between femoral fracture and related factors in direct anterior approach total hip arthroplasty in the lateral decubitus position, finding that osteoporosis and a shorter ASIS-GTD were independent risk factors for femoral fracture.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Orthopedics
Vincent J. Leopold, Paula Krull, Sebastian Hardt, Christian Hipfl, Oliver Melsheimer, Arnd Steinbrueck, Carsten Perka, Gregor M. Giebel
Summary: The study found that nonagenarians undergoing elective total hip arthroplasty (THA) had higher morbidity and mortality rates, with major risk factors including congestive heart failure, pulmonary circulation disorders, insulin-dependent diabetes, among others. However, careful patient selection and adequate preparation can help control mortality rates, as shown by the fact that mortality rates in nonagenarians were lower than in the general population.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Article
Medicine, Research & Experimental
Meng Yang, Mengxuan Yao, Kun Chu, Congcong Wei, Zihang Li, Jia Huo, Sikai Liu, Huijie Li
Summary: This study compared the efficacy of direct anterior approach (DAA) versus posterolateral approach (PLA) for total hip arthroplasty (THA) in patients with Parkinson's disease (PD). The results showed that the DAA group had a lower incidence of postoperative complications, especially dislocation. The DAA group had a longer operative time and more intraoperative blood loss. At 3 months postoperatively, the DAA group had higher HHS and WOMAC scores compared to the PLA group, but no differences were observed at 6 months postoperatively.
MEDICAL SCIENCE MONITOR
(2023)
Article
Orthopedics
Wenbo Zhao, Shanwu Li, Yi Yin, Zhiqiang Wang, Guanjun Sun, Xu Peng, Jiaping Lan, Yongjie Ye
Summary: This study compared the clinical efficacy of the lateral decubitus position and supine position direct anterior approach for unilateral total hip arthroplasty. The lateral decubitus position approach had the advantages of shorter operation time and less blood loss, but was more difficult in comparing the length of both lower extremities than the supine position approach.
ORTHOPAEDIC SURGERY
(2021)
Article
Orthopedics
Guido Garavaglia, Amanda Gonzalez, Christophe Barea, Robin Peter, Pierre Hoffmeyer, Anne Lubbeke, Didier Hannouche
Summary: This study reported the rate of complications and mid-term clinical and radiological results of total hip arthroplasties using a short stem implanted through the direct anterior approach. Patients with radiological alterations at five years post-surgery had a higher risk of revision for aseptic stem loosening and inferior clinical outcomes. Further scrutiny of the long-term survivorship of this short stem is warranted.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Hematology
Banne Nemeth, Rob Nelissen, Roopen Arya, Suzanne Cannegieter
Summary: VTE is a common complication following THA and TKA, despite available guidelines for prophylaxis, approximately 1.5% of patients still develop symptomatic VTE. This paper discusses an individualized approach to optimize the balance between VTE and bleeding risks by stratifying patients according to their risk levels.
JOURNAL OF THROMBOSIS AND HAEMOSTASIS
(2021)
Article
Orthopedics
Andrew M. Schwartz, Rahul K. Goel, Aidan P. Sweeney, Thomas L. Bradbury
Summary: This study compared capsular repair and capsulectomy in direct anterior approach total hip arthroplasty, showing no significant impact on postoperative pain and range of motion. The role of the anterior capsule in prosthetic stability remains uncertain, and capsular repair does not seem to provide added benefit in this context.
JOURNAL OF ARTHROPLASTY
(2021)
Review
Orthopedics
Leah Nairn, Lauren Gyemi, Kyle Gouveia, Seper Ekhtiari, Vickas Khanna
Summary: The direct anterior approach for total hip arthroplasty has a substantial learning curve with operative time plateauing after approximately 100 cases and substantial decrease in complication rates from early to late groups.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Nimatullah Idris, Matthieu Zingg, Morgan Gauthier, Carlo M. M. Oranges, Daniel F. F. Kalbermatten, Didier Hannouche
Summary: This case report describes a complication of extensive skin necrosis after total hip arthroplasty, but without joint infection. The patient underwent debridement and tissue reconstruction, and achieved satisfactory outcomes with pain-free hip and restored motion after 1 year.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Multidisciplinary Sciences
S. Budde, K. Tonin, E. Jakubowitz, B. Welke, A. Obermeier, C. Hurschler, H. Windhagen, M. Schwarze
Summary: In cases where mobility and joint function are impaired after implantation of a THA, weakening of hip movement in both extension/flexion and adduction/abduction may play a role due to shortening of the physiological lever arm of the hip muscles. Mechanical factors of influence include the lateral femoral offset, which affects the lever arm, and the antetorsion angle of the hip prosthesis, which affects the anterior femoral offset. This study aimed to investigate the effect of an altered antetorsion angle of the implant on the hip moments and gait patterns of the patient. The results showed that joint function measured by isokinetic measurements and gait analysis remains comparable to the healthy control group after short stem arthroplasty, but shows slight changes after conventional stem arthroplasty.
SCIENTIFIC REPORTS
(2023)
