Good long-term outcomes for Direct Anterior Approach Total Hip Arthroplasty in South Africa

Pietrzak, J; Maharaj, Zia; Cakic, Josip Nenad

doi:10.1016/j.jor.2020.08.014

Cited by 5 publications

(3 citation statements)

References 33 publications

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“…subjective feelings and has a low ceiling effect compared with other subjective assessment scales [21][22][23][24] . A number of investigators have applied FJS to evaluate the postoperative e cacy of THA performed by different surgical approaches, but the results of different studies are not uniform.…”

Section: Discussionmentioning

confidence: 94%

Systematic evaluation of joint amnesia in patients after total hip replacement surgery with comparison between anterior and posterior approaches

Zhang

Yang

et al. 2023

Preprint

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Aims A comparison of joint amnesia in patients undergoing total hip arthroplasty with direct anterior approach (DAA) and posterior approach (PA) was conducted through systematic evaluation. Methods Searched for literature on FJS in patients undergoing DAA and PA THA comparison surgery from the establishment of PubMed, EMbase, Web of Science, Cochrane Library, CBM,Wanfang, and VIP databases to February 13, 2023. After two researchers independently searched, screened literature, extracted data, and evaluated the quality of included studies according to the inclusion criteria, a meta-analysis was conducted using RevMan 5.3. Results A total of 1 RCT and 6 cohort studies were included. Meta-analysis results showed that at 1 month postoperatively [MD = 2.08, 95% CI (0.20, 3.96), P = 0.03], 3 months [MD = 10.08, 95% CI (1.20, 18.96), P = 0.03], and 1 year [MD = 6.74, 95% CI (1.30, 12.19), P = 0.02], DAA total hip arthroplasty had better FJS than PA, but there was no statistical significance in FJS scores between the two groups at 5 years postoperatively [MD = 1.35, 95% CI (-0.58, 3.28), P = 0.17]. Conclusion Current evidence shows that early FJS after THA with DAA is better than PA, and there is no significant difference between the two in long-term follow-up. However, due to the limited number of literatures included in this study, the above conclusions need to be further confirmed by the inclusion of more high-quality studies.

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Section: Discussionmentioning

confidence: 94%

Systematic evaluation of joint amnesia in patients after total hip replacement surgery with comparison between anterior and posterior approaches

Zhang

Yang

et al. 2023

Preprint

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“…The conspicuous advantages of DAA may include: (1) cosmetic benefits, such as small incision (including bikini incision), minimally-invasive and tissue-sparing surgery achieved via neuro-muscular interface [17]; (2) fast recovery, as promoted by less blood loss and pain, faster functional recovery in terms of muscle strength, range of motion, gait and early return to weight-bearing activities [4,10]; (3) more favorable outcomes, including reduced dislocation rate and increased likelihood of components being placed into the safe zone [18]. If we further look into the issue, especially when a surgeon's volume of DAA operation is more than 2000 cases, we will find that the advantages of DAA are beyond above-mentioned benefits to include the functional gain in hip-spine complex.…”

Section: Advantages Of Daa In Surgical Decision-makingmentioning

confidence: 99%

“…Patient joint perception scores showed that 65.5% of the subjects perceived a completely natural joint. Median Forgotten Joint Score-12 was 90 and modified Harris Hip Score was 88 [4]. Another retrospective study in Switzerland that followed up 256 patients for a minimum of 10 years reported 9 revision procedures, and the overall implant survival rate was 96.8% 10 years after the surgery.…”

Section: Introductionmentioning

confidence: 99%

Direct anterior approach in total hip arthroplasty: more indications and advantages than we found

Zhang

et al. 2022

Arthroplasty

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Mounting attention has been oriented to the direct anterior approach (DAA) in total hip arthroplasty (THA) because of alleged advantages in terms of tissue-sparing and minimal invasiveness, as well as fast recovery after surgery in the past decades. Doubt has also been raised by critics regarding learning curve, indications, technical feasibility, intraoperative risks and complications, and unconfirmed long-term consequences of the approach. The controversies were elaborately reviewed and discussed in a recent publication in Arthroplasty by Realyvasquez et al. from the perspective of American surgeons. This inclusive review covered the current status, technical issues, outcome evaluation, and developmental concerns of DAA in modern THA. As one of the pioneers of DAA in hip surgery communities in China, Prof. Y. Z., the corresponding author of the paper, has his own understanding and manipulation of DAA on the basis of thousands of DAA procedures he has performed. The purpose of this article was to respond to the pivotal issues discussed in the article by Realyvasquez et al., and to present our own view of points about the indications/contraindications and advantages as different from existing ideas. In particular, we proposed a Xinqiao Predictive Algorithm to quantitatively assess the indications for and feasibility of DAA for the first time. The algorithm was constructed on multiple factors derived from Chinese patients. Our study concluded that the potential advantages of DAA could be achieved by personalizing the pelvic functional position and placing the component into the real safe zone, by means of adapting to the spaciotemporal change of the hip-spine coordination.

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Is There a Learning Curve for the 5-Year Implant Survival Rate of Total Hip Arthroplasty Using the Direct Anterior Approach With a Traction Table? A Prospective Cohort Study

Nakamura,

Hagiwara,

Kawarai

et al. 2024

The Journal of Arthroplasty

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Good long-term outcomes for Direct Anterior Approach Total Hip Arthroplasty in South Africa

Cited by 5 publications

References 33 publications

Systematic evaluation of joint amnesia in patients after total hip replacement surgery with comparison between anterior and posterior approaches

Systematic evaluation of joint amnesia in patients after total hip replacement surgery with comparison between anterior and posterior approaches

Direct anterior approach in total hip arthroplasty: more indications and advantages than we found

Is There a Learning Curve for the 5-Year Implant Survival Rate of Total Hip Arthroplasty Using the Direct Anterior Approach With a Traction Table? A Prospective Cohort Study

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