The advances and the future of direct anterior approach for total hip replacement

2018 ◽  
Vol 3 ◽  
pp. 8-8
Author(s):  
Rui Wu ◽  
Silvia Zhou
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Total Hip ◽  
The Future

scholarly journals The Influence of Body Mass Index and Hip Anatomy on Direct Anterior Approach Total Hip Replacement

2016 ◽  
Vol 25 (6) ◽  
pp. 555-560 ◽  
Author(s):  
Weilin Sang ◽  
Libo Zhu ◽  
Jinzhong Ma ◽  
Haiming Lu ◽  
Cong Wang
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Total Hip ◽  
Hip Anatomy

scholarly journals Outcome after proximal femoral fractures during primary total hip replacement by the direct anterior approach

2013 ◽  
Vol 133 (4) ◽  
pp. 569-573 ◽  
Author(s):  
Hannes A. Rüdiger ◽  
Michael Betz ◽  
Patrick O. Zingg ◽  
John McManus ◽  
Claudio F. Dora
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Anterior Approach ◽  
Femoral Fractures ◽  
Direct Anterior Approach ◽  
Proximal Femoral Fractures ◽  
Total Hip

Total Hip Replacement with Use of a Direct Anterior Approach

JBJS Reviews ◽  
2014 ◽  
Vol 2 (6) ◽  
Author(s):  
Brett D. Crist ◽  
Conrad B. Ivie ◽  
B. Sonny Bal
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Total Hip

The Learning Curve of the Direct Anterior Approach without Traction Table in Total Hip Replacement: Using the LC-CUSUM Method

2019 ◽  
Vol 03 (01) ◽  
pp. 041-047 ◽  
Author(s):  
Koen Steentjes ◽  
Stefan Beekhuizen ◽  
Wouter Eilander ◽  
Wendy Meesters ◽  
Paulien van Kampen ◽  
...  
Keyword(s):  
Blood Loss ◽  
Learning Curve ◽  
Total Hip Replacement ◽  
Complication Rate ◽  
Hip Replacement ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Total Hip ◽  
Duration Of Surgery ◽  
Cusum Method

AbstractThe surgical approach for total hip replacement (THR) depends on surgeon preference or the preference and experience of the surgeon with a specific approach. The aim of this study was to analyze the learning curve of the direct anterior approach (DAA) using the cumulative summation test for learning curve (LC-CUSUM). A retrospectively collected database of 400 THRs using the DAA (January 2010–September 2014) at a single center by a single surgeon. The learning curve was analyzed by determining the duration of surgery, blood loss, and number of complications. All 400 primary THRs were reviewed. Based on the LC-CUSUM, duration of surgery, and surgical failure, the learning curve plateau was achieved after the 19th surgery and the curve follows a substantially negative trend. The average duration of surgery changed significantly for the first hundred (78 minutes) to the last hundred (61 minutes). A significant decrease in blood loss was observed as well. A total of 17 (4.25%) complications occurred, with reduction of the complication rate as surgeons' experience increases. The authors' study did not show the long learning curve as previously described in the literature. The number of complications was small, and there was a significant decrease in duration of surgery, blood loss, and number of complications as surgeon's experience increases. The authors suggest that the educational environment of a teaching hospital, combined with the use of the DAA as a standard approach for all primary THRs and supervision of experienced surgeons, contribute to the favorable learning curve with a low complication rate.

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