Recent advances in the direct anterior approach to total hip arthroplasty: a surgeon’s perspective

Homma, Yasuhiro; Baba, Tomonori; Watari, Taiji; Hayashi, Koju; Kobayashi, Hideo; Matsumoto, Mikio; Banno, Sammy; Ozaki, Yu; Ochi, Hironori; Jinnai, Yuta; Ishii, Seiya; Tanabe, Hiroki; Shirogane, Yuichi; Zhuang, Xu; Yuasa, Takahito; Kaneko, Kazuo; Ishijima, Muneaki

doi:10.1080/17434440.2023.2280986

Expert Review of Medical Devices

2023

DOI: 10.1080/17434440.2023.2280986

|View full text |Cite

Recent advances in the direct anterior approach to total hip arthroplasty: a surgeon’s perspective

Yasuhiro Homma,

Tomonori Baba,

Taiji Watari

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Total hip arthroplasty via the direct anterior approach using a conventional traction table and fluoroscopy: a safe and cost-effective technique

Ishii,

Baba,

Hayashi

et al. 2024

SICOT-J

View full text Add to dashboard Cite

Introduction: Precise implant positioning during total hip arthroplasty (THA) is an important factor affecting dislocation rate and long-term implant survival. Although a special carbon fiber traction table for THA improves the accuracy of implant positioning, it is too expensive. We aimed to report the accuracy of cup positioning and complication rate in patients undergoing THA using a conventional noncarbon fiber traction table, which is generally used for osteosynthesis of femoral fractures. Methods: This retrospective study included 62 patients who received primary THA via the direct anterior approach using a conventional traction table with fluoroscopy between July 2022 and December 2023. Two observers recorded radiological outcomes using postoperative anteroposterior X-rays. The intraclass correlation coefficients of cup positioning angles were evaluated (inclination: 0.92, anteversion: 0.88 for intra-observer agreement; inclination: 0.91, anteversion: 0.84 for inter-observer agreement). Complications were defined as dislocation, periprosthetic fracture, ankle fracture, implant loosening, nerve injury, surgical site infection, deep vein thrombosis, and revision surgery for any reason. Results: Radiographic analysis showed an average cup inclination of 38.5° ± 4.3° (98.4% within Lewinnek’s safe zone). The average cup anteversion was 12.6° ± 4.6° (100% within Lewinnek’s safe zone). None of the patients experienced any complications. Discussion: A conventional traction table could be a feasible alternative to a carbon fiber traction table for performing THA via the direct anterior approach using fluoroscopy at general hospitals.

show abstract

Total hip arthroplasty via the direct anterior approach using a conventional traction table and fluoroscopy: a safe and cost-effective technique

Ishii,

Baba,

Hayashi

et al. 2024

SICOT-J

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Recent advances in the direct anterior approach to total hip arthroplasty: a surgeon’s perspective

Cited by 1 publication

References 46 publications

Total hip arthroplasty via the direct anterior approach using a conventional traction table and fluoroscopy: a safe and cost-effective technique

Total hip arthroplasty via the direct anterior approach using a conventional traction table and fluoroscopy: a safe and cost-effective technique

Contact Info

Product

Resources

About