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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;...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8196856/ https://www.ncbi.nlm.nih.gov/pubmed/34064295 http://dx.doi.org/10.3390/jcm10112246 |
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author | Stolarczyk, Artur Stolarczyk, Magda Stępiński, Piotr Dorocińska, Monika K. Świercz, Maciej Szymczak, Jakub Żarnovsky, Krystian Żuchniewicz, Albert Maciąg, Bartosz M. |
author_facet | Stolarczyk, Artur Stolarczyk, Magda Stępiński, Piotr Dorocińska, Monika K. Świercz, Maciej Szymczak, Jakub Żarnovsky, Krystian Żuchniewicz, Albert Maciąg, Bartosz M. |
author_sort | Stolarczyk, Artur |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-8196856 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81968562021-06-13 The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches Stolarczyk, Artur Stolarczyk, Magda Stępiński, Piotr Dorocińska, Monika K. Świercz, Maciej Szymczak, Jakub Żarnovsky, Krystian Żuchniewicz, Albert Maciąg, Bartosz M. J Clin Med Review 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. MDPI 2021-05-21 /pmc/articles/PMC8196856/ /pubmed/34064295 http://dx.doi.org/10.3390/jcm10112246 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Stolarczyk, Artur Stolarczyk, Magda Stępiński, Piotr Dorocińska, Monika K. Świercz, Maciej Szymczak, Jakub Żarnovsky, Krystian Żuchniewicz, Albert Maciąg, Bartosz M. The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches |
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 | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8196856/ https://www.ncbi.nlm.nih.gov/pubmed/34064295 http://dx.doi.org/10.3390/jcm10112246 |
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