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
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
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
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
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
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
Hematology
Mohammad Hasan Kaseb, Seyyed Hossein Shafiee, Ahmad Shamabadi, Seyyed Alireza Aminjavaheri, Seyed Mohammad Javad Mortazavi
Summary: A study evaluating the outcomes of THA using DAA in patients with haemophilia found that complications were comparable to other surgical approaches, with the potential for less bleeding. The mean Harris Hip Score significantly improved postoperatively, and most patients were satisfied with the surgery outcomes at the final follow-up visit.
Article
Orthopedics
Kent R. Kraus, Julian E. Dilley, Mary Ziemba-Davis, R. Michael Meneghini
Summary: This study compared operative time and readmission rates between direct anterior and posterior approach total hip arthroplasty, finding that direct anterior procedures had longer anesthesia time but no significant impact on nontraumatic readmissions within 90 days.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Justin K. Fritz, Bradford S. Waddell, Kurt J. Kitziger, Paul C. Peters, Brian P. Gladnick
Summary: The study demonstrates that there is no increased risk of total hip arthroplasty (THA) dislocation in patients who have a negative pubic symphysis-sacrococcygeal distance (PSCD) and undergo a direct anterior (DA) approach. This suggests a protective effect of the DA approach against dislocation, even in historically high-risk populations.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Brandon H. Naylor, Cesar R. Iturriaga, Yash B. Bisen, Matthew J. Caid, Keith R. Reinhardt
Summary: The study showed a significant reduction in the risk of heterotopic ossification following DA THA when using postoperative analgesic celecoxib as part of a multimodal pain protocol. Prospective randomized studies are needed to determine the ideal dosage, duration, and formulation for reducing HO risk while optimizing pain management.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Sean E. Slaven, Henry Ho, Robert A. Sershon, Kevin B. Fricka, William G. Hamilton
Summary: This study aimed to determine the incidence of motor nerve palsy following total hip arthroplasty (THA) using the direct anterior (DA) and postero-lateral (PL) approaches, identify risk factors, and describe the extent of recovery. The overall rate of nerve palsy was 0.34%, lower with the DA approach (0.24%) than the PL approach (0.52%). Approximately 60% of cases with femoral nerve palsy and 58% of cases with sciatic/peroneal nerve palsy achieved full recovery.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
H. John Cooper, Walkania M. Santos, Alexander L. Neuwirth, Jeffrey A. Geller, Jose A. Rodriguez, Sebastian Rodriguez-Elizalde, Roshan P. Shah
Summary: This study investigated whether the use of ciNPT could reduce the incidence of surgical site complications in high-risk patients undergoing DA THA. The results showed a significant reduction in superficial SSIs in the ciNPT group compared to the control group.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Dhruv K. C. Goyal, Srikanth N. Divi, Alexander R. Vaccaro, William J. Hozack
Summary: This study aimed to evaluate the risk of total hip arthroplasty (THA) dislocation using anterior supine-based surgical approaches in patients with hip and spine pathology. The results showed a low risk of instability with anterior supine-based approaches.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)