Review
Orthopedics
Nicholas M. Hernandez, Elizabeth B. Gausden, Michael J. Taunton
Summary: The use of direct anterior approach (DAA) in total hip arthroplasty has increased significantly in the past decade. While DAA offers potential benefits such as earlier functional recovery and lower risk of periprosthetic dislocation, issues with periprosthetic fracture and femoral loosening have been reported, especially in elderly patients. Cemented femoral fixation may be a solution to decrease the risk of early femoral failure in elderly patients undergoing DAA.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(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
Julian Hasler, Andreas Flury, Armando Hoch, Frederic Cornaz, Patrick O. Zingg, Stefan Rahm
Summary: This study compared the clinical and radiographic outcomes of patients with sequelae of Legg-Calve-Perthes disease (LCPD) who underwent total hip arthroplasty (THA) through the direct anterior approach (DAA) and non-anterior approaches. The results showed that THA through the DAA had comparable complication rates and functional outcomes to non-anterior approaches.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Orthopedics
Yuta Matsuki, Takashi Imagama, Atsunori Tokushige, Kazuhiro Yamazaki, Takashi Sakai
Summary: This study compared the accuracy of cup placement using a computed tomography (CT)-based navigation system (CTN) with mechanical cup alignment guide (MG) or fluoroscopy (FS) in direct anterior approach (DAA) total hip arthroplasty (THA) in the supine position. The accuracy of cup placement was investigated by comparing preoperative planning with postoperative CT measurements. The results showed that the CTN group had significantly smaller mean absolute errors in radiographic inclination (RI) and radiographic anteversion (RA) compared to the MG and FS groups. The CTN group also had the smallest mean absolute error in vertical position of the cup center.
JOURNAL OF ORTHOPAEDIC SCIENCE
(2023)
Article
Medicine, General & Internal
Tizian Heinz, Hristo Vasilev, Philip Mark Anderson, Ioannis Stratos, Axel Jakuscheit, Konstantin Horas, Boris Michael Holzapfel, Maximilian Rudert, Manuel Weissenberger
Summary: The direct anterior approach is a well-recognized technique for primary total hip arthroplasty. This study retrospectively analyzed 188 cases of complex acetabular deformities treated with the direct anterior approach, and found it to be feasible and suitable with few complications.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Sebastian von Hertzberg-Boelch, Laura Mueller, Ioannis Stratos, Joerg Arnholdt, Boris Holzapfel, Maximilian Rudert
Summary: Patient-specific factors, such as BMI, DAA Plane, age, and abdominal fat flap, have a significant correlation with operation time for THA via the DAA. A multiple regression model including BMI, Kellgren and Lawrence Score, age, DAA Plane, and the Canal to Calcar ratio provides the best predictive accuracy.
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Orthopedics
Marc-Antoine Ricard, James Ardell, Pierre Laboudie, Roger Wei, Paul E. Beaule
Summary: This study evaluated the clinical outcome of patients requiring revision of hip resurfacing arthroplasty (HRA) to total hip replacement using the Hueter-Anterior Approach (HAA), and found that HAA is a viable surgical approach for HRA revision. Patients reported significant improvements in function and symptoms after surgery, and smaller initial HRA acetabular components generally required larger components at the time of revision.
Article
Orthopedics
N. P. McGoldrick, D. Fischman, G. M. Nicol, C. Kreviazuk, G. Grammatopoulos, P. E. Beaule
Summary: The study found no significant differences in cement mantle quality and alignment between the anterior and posterior approaches in total hip arthroplasty, both methods can achieve adequate cement mantle and alignment.
BONE & JOINT JOURNAL
(2021)
Article
Orthopedics
Zachary Berliner, Cameron Yau, Kenneth Jahng, Marcel A. Bas, H. John Cooper, Jose A. Rodriguez
Summary: This study assessed the risk factors for periprosthetic femoral fracture (PPFx) during and after direct anterior total hip arthroplasty (THA). The results showed that older age, BMI less than 25 in individuals over 70 years old, osteoporosis, and Parkinson's disease are associated with increased risk of early postoperative PPFx. The study also found that intraoperative fractures are related to greater proximal femoral stem canal fill.
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
Guillaume Auberger, Erwan Pansard, Pierre-Alban Bouche, Jean-Luc Marmorat, Thierry Judet, Guillaume Lonjon
Summary: The study found a strong correlation between the retroversion of the pelvis on a traction table and the anatomical anteversion of the acetabular cup, highlighting the importance of analyzing the preoperative pelvic position in THA planning.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2021)
Article
Orthopedics
M. E. Awad, B. J. Farley, G. Mostafa, K. J. Saleh
Summary: The direct anterior approach (DAA) for total hip arthroplasty (THA) showed better early functional outcomes but higher costs compared to the posterior approach (PA), with no significant differences in functional outcomes seen at later intervals.
BONE & JOINT JOURNAL
(2021)
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
Alberto Di Martino, Davide Pederiva, Matteo Brunello, Leonardo Tassinari, Giuseppe Geraci, Niccolo Stefanini, Cesare Faldini
Summary: This study compares the effectiveness of the direct anterior hip approach with the posterolateral approach in the management of medial femoral neck fractures. The results show that there is no significant difference in complication rates and functional recovery between the two approaches. However, the direct anterior approach allows for faster functional recovery in elderly patients.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Surgery
Guanbao Li, Qiuan Chen, Wei Zhou, Pinquan Li, Peng Ma, Tongyuan Liu, Hai Tang
Summary: The study shows that reconstructing the joint capsule and conjoint tendon during direct anterior approach total hip arthroplasty can improve the functional recovery and joint stability of patients.
FRONTIERS IN SURGERY
(2022)