The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches
Total hip arthroplasty (THA) is currently considered the most effective treatment for end-stage hip osteoarthritis (OA). The surgery can be performed via a number of different approaches, including direct anterior (DAA; Smith–Petersen; Hueter), anterolateral (ALA; Watson–Jones), direct lateral (LA;...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/11/2246 |
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| author | Artur Stolarczyk Magda Stolarczyk Piotr Stępiński Monika K. Dorocińska Maciej Świercz Jakub Szymczak Krystian Żarnovsky Albert Żuchniewicz Bartosz M. Maciąg |
| author_facet | Artur Stolarczyk Magda Stolarczyk Piotr Stępiński Monika K. Dorocińska Maciej Świercz Jakub Szymczak Krystian Żarnovsky Albert Żuchniewicz Bartosz M. Maciąg |
| author_sort | Artur Stolarczyk |
| collection | DOAJ |
| description | Total hip arthroplasty (THA) is currently considered the most effective treatment for end-stage hip osteoarthritis (OA). The surgery can be performed via a number of different approaches, including direct anterior (DAA; Smith–Petersen; Hueter), anterolateral (ALA; Watson–Jones), direct lateral (LA; Bauer), posterior (PA; Kocher–Langenbeck), and posterolateral (PLA). There is still a dispute over the optimal technique. The aim of this systematic review was to assess how different surgical approaches toward a THA influence the prosthesis elements’ positioning. We conducted a literature search of Scopus, ScienceDirect, PubMed, Embase, and The Cochrane Library. We evaluated studies in terms of the first author’s name, country, publication year, type of surgical approach being compared to the direct anterior approach, any significant differences at baseline, sample size, and radiographic analysis. A subanalysis of each approach in comparison to the DAA revealed differences in terms of all analyzed implant positioning radiographic parameters. There is still an insufficient number of randomized controlled studies that include radiological analyses comparing THRs (total hip replacements) performed using DAA with other approaches. Implant placement is a crucial step during a THR and surgeons must be aware that the approach they use might impact their judgment on angles and spaces inside the joint and thus alter the implant positioning. |
| first_indexed | 2024-03-10T11:09:46Z |
| format | Article |
| id | doaj.art-da0eb03b5cc64291bd03ab841b18cdd8 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T11:09:46Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-da0eb03b5cc64291bd03ab841b18cdd82023-11-21T20:52:47ZengMDPI AGJournal of Clinical Medicine2077-03832021-05-011011224610.3390/jcm10112246The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other ApproachesArtur Stolarczyk0Magda Stolarczyk1Piotr Stępiński2Monika K. Dorocińska3Maciej Świercz4Jakub Szymczak5Krystian Żarnovsky6Albert Żuchniewicz7Bartosz M. Maciąg8Department of Orthopaedics and Rehabilitation, Medical University of Warsaw, 02-091 Warszawa, Poland3rd Clinic of Internal Medicine and Cardiology, Medical University of Warsaw, 02-091 Warszawa, PolandDepartment of Orthopaedics and Rehabilitation, Medical University of Warsaw, 02-091 Warszawa, PolandDepartment of Orthopaedics and Rehabilitation, Medical University of Warsaw, 02-091 Warszawa, PolandDepartment of Orthopaedics and Rehabilitation, Medical University of Warsaw, 02-091 Warszawa, PolandDepartment of Orthopaedics and Rehabilitation, Medical University of Warsaw, 02-091 Warszawa, PolandDepartment of Orthopaedics and Rehabilitation, Medical University of Warsaw, 02-091 Warszawa, PolandDepartment of Orthopaedics and Rehabilitation, Medical University of Warsaw, 02-091 Warszawa, PolandDepartment of Orthopaedics and Rehabilitation, Medical University of Warsaw, 02-091 Warszawa, PolandTotal hip arthroplasty (THA) is currently considered the most effective treatment for end-stage hip osteoarthritis (OA). The surgery can be performed via a number of different approaches, including direct anterior (DAA; Smith–Petersen; Hueter), anterolateral (ALA; Watson–Jones), direct lateral (LA; Bauer), posterior (PA; Kocher–Langenbeck), and posterolateral (PLA). There is still a dispute over the optimal technique. The aim of this systematic review was to assess how different surgical approaches toward a THA influence the prosthesis elements’ positioning. We conducted a literature search of Scopus, ScienceDirect, PubMed, Embase, and The Cochrane Library. We evaluated studies in terms of the first author’s name, country, publication year, type of surgical approach being compared to the direct anterior approach, any significant differences at baseline, sample size, and radiographic analysis. A subanalysis of each approach in comparison to the DAA revealed differences in terms of all analyzed implant positioning radiographic parameters. There is still an insufficient number of randomized controlled studies that include radiological analyses comparing THRs (total hip replacements) performed using DAA with other approaches. Implant placement is a crucial step during a THR and surgeons must be aware that the approach they use might impact their judgment on angles and spaces inside the joint and thus alter the implant positioning.https://www.mdpi.com/2077-0383/10/11/2246THRapproachhipanterior |
| spellingShingle | Artur Stolarczyk Magda Stolarczyk Piotr Stępiński Monika K. Dorocińska Maciej Świercz Jakub Szymczak Krystian Żarnovsky Albert Żuchniewicz Bartosz M. Maciąg The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches Journal of Clinical Medicine THR approach hip anterior |
| title | The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches |
| title_full | The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches |
| title_fullStr | The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches |
| title_full_unstemmed | The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches |
| title_short | The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches |
| title_sort | direct anterior approach to primary total hip replacement radiological analysis in comparison to other approaches |
| topic | THR approach hip anterior |
| url | https://www.mdpi.com/2077-0383/10/11/2246 |
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