For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
35
views
47
references
 Top references
cited by
96
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
1 collections
    0
    shares
      1,886
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found

      The direct anterior approach in total hip arthroplasty : a systematic review of the literature

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The most effective surgical approach for total hip arthroplasty (THA) remains controversial. The direct anterior approach may be associated with a reduced risk of dislocation, faster recovery, reduced pain and fewer surgical complications. This systematic review aims to evaluate the current evidence for the use of this approach in THA.

          Related collections

          Most cited references47

          • Record: found
          • Abstract: found
          • Article: not found

          Anterior vs. posterior approach for total hip arthroplasty, a systematic review and meta-analysis.

          Paul Higgins, Keith D. Barlow, Jian Lin … (2015)
          The objective of this study is to compare the clinical, radiographic and surgical outcomes among patients undergoing primary THA performed via the anterior versus posterior approach. We searched numerous sources and eventually included 17 studies, totaling 2302 participants. In terms of post-operative pain and function, the anterior approach was significantly favored in 4 studies at short-term follow-up. Pooled estimates showed a significant difference in favor of the anterior approach in terms of length of stay and dislocations. Current evidence comparing outcomes following anterior versus posterior THA does not demonstrate clear superiority of either approach. Until more rigorous, randomized evidence is available, we recommend choice of surgical approach for THA be based on patient characteristics, surgeon experience and surgeon and patient preference. Copyright © 2014 Elsevier Inc. All rights reserved.
          Article 0 comments Cited 82 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Prospective randomized study of direct anterior vs postero-lateral approach for total hip arthroplasty.

            Anne Barrett, Claire E. Turner, P Léopold (2013)
            Benefits of a direct anterior approach (DAA) versus a posterior-lateral (PA) approach to THA were assessed in a single-surgeon, IRB-approved, prospective, randomized clinical study. Subjects (43 DAA and 44 PA) were evaluated at 6 weeks, and 3, 6 and 12 months. The primary end point was ability to climb stairs normally and walk unlimited at each time point. Secondary end points included assessment by several outcome instruments. DAA subjects performed better during the immediate post-operative period; they had lower VAS pain scores on the first post-operative day, more subjects climbing stairs normally and walking unlimited at 6 weeks, and higher HOOS Symptoms scores at 3 months. There were no significant differences between groups at later time points. Findings confirm previous reports of benefits of DAA versus PA in early post-operative phases. Copyright © 2013 Elsevier Inc. All rights reserved.
            Article 0 comments Cited 72 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Prospective randomized study of two surgical approaches for total hip arthroplasty.

              Camilo Restrepo, Javad Parvizi, Aidin Pour … (2010)
              The benefits of different surgical approaches for total hip arthroplasty continue to be debated. One hundred patients were prospectively enrolled and randomized into 2 groups. One group underwent total hip arthroplasty through a single-incision modified Smith-Peterson approach, whereas the other group underwent total hip arthroplasty through a direct lateral approach. All patients received the same postoperative protocol. Evaluation included operative time, estimated blood loss, analgesia requirement, transfusions, and length of stay. Functional outcome was assessed preoperatively and postoperatively. Up to 1-year follow-up, the direct anterior group demonstrated significantly better improvement in both the mental and physical health dimensions of Short Form-36 and Western Ontario McMaster Osteoarthritis Index compared with direct lateral approach group. At 2 years, the results in both groups were the same.
              Article 0 comments Cited 42 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Title: The Bone & Joint Journal
                Abbreviated Title: The Bone & Joint Journal
                Publisher: British Editorial Society of Bone & Joint Surgery
                ISSN (Print): 2049-4394
                ISSN (Electronic): 2049-4408
                Publication date Created: June 2017
                Publication date (Print): June 2017
                Volume: 99-B
                Issue: 6
                Pages: 732-740
                Affiliations
                [1 ]Bravis Hospital, Boerhaaveplein 1, 4624VT Bergen op Zoom, The Netherlands.
                [2 ]University College London Hospitals, 235 Euston Road, London, NW1 2BU, UK.
                [3 ]NIHR University College London Hospitals Biomedical Research Centre, UK.
                Article
                DOI: 10.1302/0301-620X.99B6.38053
                PubMed ID: 28566391
                SO-VID: 9d6f4dc2-8f17-4949-bf39-0f430281810d
                Copyright © © 2017
                History

                Data availability:

                Comments

                Comment on this article

                scite_

                Similar content1,886

                See all similar

                Cited by96

                See all cited by

                Most referenced authors569

                See all reference authors