Orthopaedic trauma surgeons and direct anterior total hip arthroplasty: evaluation of learning curve at a level I academic institution

2017 ◽  
Vol 27 (3) ◽  
pp. 421-424 ◽  
Author(s):  
Philip J. York ◽  
Stephanie L. Logterman ◽  
David J. Hak ◽  
Andreas Mavrogenis ◽  
Cyril Mauffrey
Keyword(s):  
Total Hip Arthroplasty ◽  
Learning Curve ◽  
Hip Arthroplasty ◽  
Academic Institution ◽  
Orthopaedic Trauma ◽  
Total Hip ◽  
Level I ◽  
Evaluation Of Learning ◽  
Trauma Surgeons

The learning curve for the direct anterior total hip arthroplasty: a systematic review

2021 ◽  
Author(s):  
Leah Nairn ◽  
Lauren Gyemi ◽  
Kyle Gouveia ◽  
Seper Ekhtiari ◽  
Vickas Khanna
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Learning Curve ◽  
Hip Arthroplasty ◽  
Total Hip

The learning curve following adoption of a novel short-stem prosthesis in total hip arthroplasty: implications on short-term patient outcomes

2018 ◽  
Vol 29 (4) ◽  
pp. 819-825 ◽  
Author(s):  
Jorge A. Padilla ◽  
Afshin A. Anoushiravani ◽  
James E. Feng ◽  
Ran Schwarzkopf ◽  
James Slover ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Learning Curve ◽  
Patient Outcomes ◽  
Hip Arthroplasty ◽  
Short Stem ◽  
Short Term ◽  
Total Hip

scholarly journals Total hip arthroplasty performed by direct anterior approach – Does experience influence the learning curve?

SICOT-J ◽  
2020 ◽  
Vol 6 ◽  
pp. 15 ◽  
Author(s):  
Constant Foissey ◽  
Mathieu Fauvernier ◽  
Cam Fary ◽  
Elvire Servien ◽  
Sébastien Lustig ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Learning Curve ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Operating Time ◽  
Surgical Techniques ◽  
Direct Anterior Approach ◽  
Clinical Results ◽  
Total Hip ◽  
Significant Difference

Introduction: Proficiency in the direct anterior approach (DAA) as with many surgical techniques is considered to be challenging. Added to this is the controversy of the benefits of DAA compared to other total hip arthroplasty (THA) approaches. Our study aims to assess the influence of experience on learning curve and clinical results when transitioning from THA via posterior approach in a lateral position to DAA in a supine position. Methods: A consecutive retrospective series of 525 total hip arthroplasty of one senior and six junior surgeons was retrospectively analysed from May 2013 to December 2017. Clinical results were analysed and compared between the two groups and represented as a learning curve. Mean follow up was 36.2 months ± 11.8. Results: This study found a significant difference in complications between the senior and junior surgeons for operating time, infection rate, and lateral femoral cutaneous nerve (LFCN) neuropraxia. A trainee’s learning curve was an average of 10 DAA procedures before matching the senior surgeon. Of note, the early complications correlated with intraoperative fractures increased with experience in both groups. Operating time for the senior equalised after 70 cases. Dislocation rate and limb length discrepancy were excellent and did not show a learning curve between the two groups. Conclusion: DAA is a safe approach to implant a THA. There is a learning curve and initial supervision is recommended for both seniors and trainees. Level of evidence: Retrospective, consecutive case series; level IV.

scholarly journals Accuracy of cup orientation and learning curve of the accelerometer-based portable navigation system for total hip arthroplasty in the supine position

2019 ◽  
Vol 27 (2) ◽  
pp. 230949901984887 ◽  
Author(s):  
Tomoyuki Kamenaga ◽  
Shinya Hayashi ◽  
Shingo Hashimoto ◽  
Tomoyuki Matsumoto ◽  
Koji Takayama ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Learning Curve ◽  
Hip Arthroplasty ◽  
Supine Position ◽  
Navigation System ◽  
Total Hip ◽  
Portable Navigation

Advantages of an Anterior-Based Muscle-Sparing Approach in Transitioning From a Posterior Approach for Total Hip Arthroplasty: Minimizing the Learning Curve

2019 ◽  
Vol 34 (12) ◽  
pp. 2962-2967 ◽  
Author(s):  
Ryland P. Kagan ◽  
Eric M. Greber ◽  
Stephen M. Richards ◽  
Jill A. Erickson ◽  
Mike B. Anderson ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Learning Curve ◽  
Hip Arthroplasty ◽  
Posterior Approach ◽  
Total Hip ◽  
Muscle Sparing

The Learning Curve Associated With Robotic-Assisted Total Hip Arthroplasty

2015 ◽  
Vol 30 (1) ◽  
pp. 50-54 ◽  
Author(s):  
John M. Redmond ◽  
Asheesh Gupta ◽  
Jon E. Hammarstedt ◽  
Alexandra E. Petrakos ◽  
Nathan A. Finch ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Learning Curve ◽  
Hip Arthroplasty ◽  
Robotic Assisted ◽  
Total Hip

scholarly journals No Learning Curve of the Direct Superior Approach in Total Hip Arthroplasty

2020 ◽  
Vol 12 (3) ◽  
pp. 852-860 ◽  
Author(s):  
Bouke J Duijnisveld ◽  
Joost A A M Hout ◽  
Robert Wagenmakers ◽  
Koen L M Koenraadt ◽  
Stefan B T Bolder
Keyword(s):  
Total Hip Arthroplasty ◽  
Learning Curve ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Superior Approach

scholarly journals Can the use of an inclinometer improve acetabular cup inclination in total hip arthroplasty? A review of the literature

2020 ◽  
pp. 112070002094671
Author(s):  
Bernard H van Duren ◽  
Joseph M Royeca ◽  
Conor M Cunningham ◽  
Jonathan N Lamb ◽  
Chris J Brew ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Acetabular Cup ◽  
Total Hip ◽  
Search Terms ◽  
Randomised Control Trials ◽  
Level I ◽  
Important Measurement ◽  
Primary Hip Replacement

Introduction: The angle of acetabular (cup) radiographic inclination is an important measurement in total hip arthroplasty (THA) procedures. Abnormal radiographic inclination is associated with dislocation, edge loading and higher failure rates. Consistently achieving a satisfactory radiographic inclination remains a challenge. Inclinometers have been increasingly used over the last decade. This paper reviews the literature to determine whether using an inclinometer improves the accuracy of acetabular cup inclination in THA. Methods: A systematic literature search was performed. The following search terms were used: (‘hip’ OR ‘hip replacement’ OR ‘hip arthroplasty’ OR ‘primary hip replacement’ OR ‘THR’ OR ‘THA’ OR ’Acetabular cup Inclination’) AND (‘Inclinometer’). Titles and abstracts were screened for relevance. Both radiographic and operative inclination comparisons were included. Results: 7 studies met the inclusion criteria. 2 were randomised control trials with level I evidence, and the remaining studies were cohort studies with level III/IV evidence. 5 were clinical and 2 experimental. In total there were 16 cohorts: 7 using an inclinometer, 6 freehand, and 3 using MAG techniques. All studies comparing radiographic inclination and 1 of 2 studies comparing operative inclination showed an improvement in the attainment of the optimal inclination. Similarly, the use of an inclinometer showed a reduction in the number of outliers when compared to MAG and freehand techniques. Discussion: This review demonstrates that using an inclinometer improved the surgeon’s ability to achieve their intended inclination (both operative and radiographic) and reduced the incidence of positioning outside the safe-zone. However, only 2 of the studies were randomised control trials and these resulted in opposing conclusions. Therefore, further studies looking at the use of inclinometers would prove useful in understanding their true benefit.

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