Does the utilization of fluoroscopy affect the accuracy of prosthesis position in patients undergoing hip replacement surgery via the direct anterior approach compared to the posterolateral approach for an experienced surgeon? A single-center retrospective study

The direct anterior approach (DAA) for total hip arthroplasty (THA) has gained popularity due to perceived advantages in achieving better early outcomes. However, the theoretical benefits such as precise implant positioning and accurate leg length restoration are still inconsistent. In this study, w...

Full description

Saved in:
Bibliographic Details
Published in:BMC musculoskeletal disorders 2024-10, Vol.25 (1), p.816-7, Article 816
Main Authors: Wu, Po-Kuan, Chang, Wen-Shuo, Chen, Kuan-Ting, Huang, Po-Chang, Ho, Chung-Han, Chien, Chi-Sheng, Wu, Tsung-Mu
Format: Article
Language:English
Subjects:
Accuracy
Acetabular position
Acetabulum
Adults
Aged
Arthroplasty, Replacement, Hip - methods
Artificial hip joints
Biomechanics
Clinical Competence
Direct anterior approach
Female
Fluoroscopy
Fluoroscopy - methods
Hip
Hip joint
Hip Joint - diagnostic imaging
Hip Joint - surgery
Hip Prosthesis
Humans
Implants, Artificial
Joint replacement surgery
Joint surgery
Leg
Leg length discrepancy
Leg Length Inequality - diagnostic imaging
Leg Length Inequality - surgery
Male
Mechanical properties
Medical records
Medical research
Medicine, Experimental
Middle Aged
Necrosis
Patients
Physiological aspects
Posterolateral approach
Prostheses
Prosthesis
Radiography
Retrospective Studies
Surgeons
Surgery
Total hip arthroplasty
Transplants & implants
Treatment Outcome
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c445t-da936bf40a57833516a4caf77ab6ebb17446b3c8042bae42d94d07ac64bb7da33
container_end_page 7
container_issue 1
container_start_page 816
container_title BMC musculoskeletal disorders
container_volume 25
creator Wu, Po-Kuan
Chang, Wen-Shuo
Chen, Kuan-Ting
Huang, Po-Chang
Ho, Chung-Han
Chien, Chi-Sheng
Wu, Tsung-Mu
description The direct anterior approach (DAA) for total hip arthroplasty (THA) has gained popularity due to perceived advantages in achieving better early outcomes. However, the theoretical benefits such as precise implant positioning and accurate leg length restoration are still inconsistent. In this study, we compared implant position and leg length discrepancy (LLD) of the DAA and posterolateral approach (PLA) conducted by a single surgeon who had mastered both approaches. This study retrospectively reviewed the medical records and radiographic images of 244 patients who underwent THA between 2012 and 2021 by a single experienced surgeon using either the DAA (n = 120) or PLA (n = 124). Postoperative pelvic anteroposterior radiographs at 6 months follow-up were used to assess acetabular component inclination and anteversion, as well as LLD. Mann-Whitney U tests and Chi-squared test were performed to compare outcomes between the two approaches. No significant differences were observed in patient demographics between the two groups. The DAA group demonstrated significantly lower postoperative LLD (0.00 mm) compared to the PLA group (5.00 mm, p 
doi_str_mv 10.1186/s12891-024-07917-w
format article
fullrecord <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_ec42345c7e364addb45070b8a0531859</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A812424721</galeid><doaj_id>oai_doaj_org_article_ec42345c7e364addb45070b8a0531859</doaj_id><sourcerecordid>A812424721</sourcerecordid><originalsourceid>FETCH-LOGICAL-c445t-da936bf40a57833516a4caf77ab6ebb17446b3c8042bae42d94d07ac64bb7da33</originalsourceid><addsrcrecordid>eNptk01v1DAQhgPio6XwBzggS1y4pNiOE2dPVVW-KlXiAmdr4kx2XWXtYCdtl1_PJFv6gVCkxBo_7zvjiSfL3gp-LERdfUxC1iuRc6lyrldC59dPs0OhtMil0urZg_VB9iqlS86FrovVy-ygWCmupSwPn7z4FDCxcYNsGl3vfsPogmehY10_hRiSDcOOQdehHRcKrJ0i2N2MDLRPseQSG0Jyi9J5NpAH-jGxybcY18H5Ndu4gUUcerC4pT2WprjGuGNXDhbb1sU5A_gRowuRwUDmYDfMhu0AEVs2hgWkRISEHugN_T3XzSLP8GYgA_SWFEuO4E_YKUtUQ4-5xdmfChmp8oESuitkaZza3evseQd9wje336Ps55fPP86-5Rffv56fnV7kVqlyzFtYFVXTKQ4ldbIoRQXKQqc1NBU2jdBKVU1ha65kA6hku1It12Ar1TS6haI4ys73vm2ASzNEt4W4MwGcWQIhrg3E0dkeDVolC1VajUWloG0bVXLNmxp4WYi6XJHXyd5rmJottvPhqCWPTB_veLcx63BlBN2LiuuSHD7cOsTwa8I0mq1LFvsePIYpmUIITZwsOaHv_0EvwxQ99YooWSlRaVneU2ugEzjfBUpsZ1NzWgup6C5KQdTxfyh6Wtw6Gzx2juKPBHIvsPTfUsTu7pCCm3kUzH4UDI2CWUbBXJPo3cP23En-3v3iDz9TC-8</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3126416725</pqid></control><display><type>article</type><title>Does the utilization of fluoroscopy affect the accuracy of prosthesis position in patients undergoing hip replacement surgery via the direct anterior approach compared to the posterolateral approach for an experienced surgeon? A single-center retrospective study</title><source>Open Access: PubMed Central</source><source>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</source><creator>Wu, Po-Kuan ; Chang, Wen-Shuo ; Chen, Kuan-Ting ; Huang, Po-Chang ; Ho, Chung-Han ; Chien, Chi-Sheng ; Wu, Tsung-Mu</creator><creatorcontrib>Wu, Po-Kuan ; Chang, Wen-Shuo ; Chen, Kuan-Ting ; Huang, Po-Chang ; Ho, Chung-Han ; Chien, Chi-Sheng ; Wu, Tsung-Mu</creatorcontrib><description>The direct anterior approach (DAA) for total hip arthroplasty (THA) has gained popularity due to perceived advantages in achieving better early outcomes. However, the theoretical benefits such as precise implant positioning and accurate leg length restoration are still inconsistent. In this study, we compared implant position and leg length discrepancy (LLD) of the DAA and posterolateral approach (PLA) conducted by a single surgeon who had mastered both approaches. This study retrospectively reviewed the medical records and radiographic images of 244 patients who underwent THA between 2012 and 2021 by a single experienced surgeon using either the DAA (n = 120) or PLA (n = 124). Postoperative pelvic anteroposterior radiographs at 6 months follow-up were used to assess acetabular component inclination and anteversion, as well as LLD. Mann-Whitney U tests and Chi-squared test were performed to compare outcomes between the two approaches. No significant differences were observed in patient demographics between the two groups. The DAA group demonstrated significantly lower postoperative LLD (0.00 mm) compared to the PLA group (5.00 mm, p &lt; 0.0001). No significant difference was observed in the Lewinnek zone for cup anteversion and inclination angles between the two groups. For experienced surgeons in other approaches, our findings suggest transferring to the DAA may not substantially improve cup positioning, but it might slightly enhance limb length measurement. For surgeons already proficient in other approaches and deciding to maintain those approaches, their primary concern for optimal THA outcome should be striving for leg length equivalence.</description><identifier>ISSN: 1471-2474</identifier><identifier>EISSN: 1471-2474</identifier><identifier>DOI: 10.1186/s12891-024-07917-w</identifier><identifier>PMID: 39407225</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Accuracy ; Acetabular position ; Acetabulum ; Adults ; Aged ; Arthroplasty, Replacement, Hip - methods ; Artificial hip joints ; Biomechanics ; Clinical Competence ; Direct anterior approach ; Female ; Fluoroscopy ; Fluoroscopy - methods ; Hip ; Hip joint ; Hip Joint - diagnostic imaging ; Hip Joint - surgery ; Hip Prosthesis ; Humans ; Implants, Artificial ; Joint replacement surgery ; Joint surgery ; Leg ; Leg length discrepancy ; Leg Length Inequality - diagnostic imaging ; Leg Length Inequality - surgery ; Male ; Mechanical properties ; Medical records ; Medical research ; Medicine, Experimental ; Middle Aged ; Necrosis ; Patients ; Physiological aspects ; Posterolateral approach ; Prostheses ; Prosthesis ; Radiography ; Retrospective Studies ; Surgeons ; Surgery ; Total hip arthroplasty ; Transplants &amp; implants ; Treatment Outcome</subject><ispartof>BMC musculoskeletal disorders, 2024-10, Vol.25 (1), p.816-7, Article 816</ispartof><rights>2024. The Author(s).</rights><rights>COPYRIGHT 2024 BioMed Central Ltd.</rights><rights>2024. This work is licensed under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c445t-da936bf40a57833516a4caf77ab6ebb17446b3c8042bae42d94d07ac64bb7da33</cites><orcidid>0000-0002-0540-6283</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11476075/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3126416725?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39407225$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Po-Kuan</creatorcontrib><creatorcontrib>Chang, Wen-Shuo</creatorcontrib><creatorcontrib>Chen, Kuan-Ting</creatorcontrib><creatorcontrib>Huang, Po-Chang</creatorcontrib><creatorcontrib>Ho, Chung-Han</creatorcontrib><creatorcontrib>Chien, Chi-Sheng</creatorcontrib><creatorcontrib>Wu, Tsung-Mu</creatorcontrib><title>Does the utilization of fluoroscopy affect the accuracy of prosthesis position in patients undergoing hip replacement surgery via the direct anterior approach compared to the posterolateral approach for an experienced surgeon? A single-center retrospective study</title><title>BMC musculoskeletal disorders</title><addtitle>BMC Musculoskelet Disord</addtitle><description>The direct anterior approach (DAA) for total hip arthroplasty (THA) has gained popularity due to perceived advantages in achieving better early outcomes. However, the theoretical benefits such as precise implant positioning and accurate leg length restoration are still inconsistent. In this study, we compared implant position and leg length discrepancy (LLD) of the DAA and posterolateral approach (PLA) conducted by a single surgeon who had mastered both approaches. This study retrospectively reviewed the medical records and radiographic images of 244 patients who underwent THA between 2012 and 2021 by a single experienced surgeon using either the DAA (n = 120) or PLA (n = 124). Postoperative pelvic anteroposterior radiographs at 6 months follow-up were used to assess acetabular component inclination and anteversion, as well as LLD. Mann-Whitney U tests and Chi-squared test were performed to compare outcomes between the two approaches. No significant differences were observed in patient demographics between the two groups. The DAA group demonstrated significantly lower postoperative LLD (0.00 mm) compared to the PLA group (5.00 mm, p &lt; 0.0001). No significant difference was observed in the Lewinnek zone for cup anteversion and inclination angles between the two groups. For experienced surgeons in other approaches, our findings suggest transferring to the DAA may not substantially improve cup positioning, but it might slightly enhance limb length measurement. For surgeons already proficient in other approaches and deciding to maintain those approaches, their primary concern for optimal THA outcome should be striving for leg length equivalence.</description><subject>Accuracy</subject><subject>Acetabular position</subject><subject>Acetabulum</subject><subject>Adults</subject><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Artificial hip joints</subject><subject>Biomechanics</subject><subject>Clinical Competence</subject><subject>Direct anterior approach</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Fluoroscopy - methods</subject><subject>Hip</subject><subject>Hip joint</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Implants, Artificial</subject><subject>Joint replacement surgery</subject><subject>Joint surgery</subject><subject>Leg</subject><subject>Leg length discrepancy</subject><subject>Leg Length Inequality - diagnostic imaging</subject><subject>Leg Length Inequality - surgery</subject><subject>Male</subject><subject>Mechanical properties</subject><subject>Medical records</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Middle Aged</subject><subject>Necrosis</subject><subject>Patients</subject><subject>Physiological aspects</subject><subject>Posterolateral approach</subject><subject>Prostheses</subject><subject>Prosthesis</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Total hip arthroplasty</subject><subject>Transplants &amp; implants</subject><subject>Treatment Outcome</subject><issn>1471-2474</issn><issn>1471-2474</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptk01v1DAQhgPio6XwBzggS1y4pNiOE2dPVVW-KlXiAmdr4kx2XWXtYCdtl1_PJFv6gVCkxBo_7zvjiSfL3gp-LERdfUxC1iuRc6lyrldC59dPs0OhtMil0urZg_VB9iqlS86FrovVy-ygWCmupSwPn7z4FDCxcYNsGl3vfsPogmehY10_hRiSDcOOQdehHRcKrJ0i2N2MDLRPseQSG0Jyi9J5NpAH-jGxybcY18H5Ndu4gUUcerC4pT2WprjGuGNXDhbb1sU5A_gRowuRwUDmYDfMhu0AEVs2hgWkRISEHugN_T3XzSLP8GYgA_SWFEuO4E_YKUtUQ4-5xdmfChmp8oESuitkaZza3evseQd9wje336Ps55fPP86-5Rffv56fnV7kVqlyzFtYFVXTKQ4ldbIoRQXKQqc1NBU2jdBKVU1ha65kA6hku1It12Ar1TS6haI4ys73vm2ASzNEt4W4MwGcWQIhrg3E0dkeDVolC1VajUWloG0bVXLNmxp4WYi6XJHXyd5rmJottvPhqCWPTB_veLcx63BlBN2LiuuSHD7cOsTwa8I0mq1LFvsePIYpmUIITZwsOaHv_0EvwxQ99YooWSlRaVneU2ugEzjfBUpsZ1NzWgup6C5KQdTxfyh6Wtw6Gzx2juKPBHIvsPTfUsTu7pCCm3kUzH4UDI2CWUbBXJPo3cP23En-3v3iDz9TC-8</recordid><startdate>20241015</startdate><enddate>20241015</enddate><creator>Wu, Po-Kuan</creator><creator>Chang, Wen-Shuo</creator><creator>Chen, Kuan-Ting</creator><creator>Huang, Po-Chang</creator><creator>Ho, Chung-Han</creator><creator>Chien, Chi-Sheng</creator><creator>Wu, Tsung-Mu</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-0540-6283</orcidid></search><sort><creationdate>20241015</creationdate><title>Does the utilization of fluoroscopy affect the accuracy of prosthesis position in patients undergoing hip replacement surgery via the direct anterior approach compared to the posterolateral approach for an experienced surgeon? A single-center retrospective study</title><author>Wu, Po-Kuan ; Chang, Wen-Shuo ; Chen, Kuan-Ting ; Huang, Po-Chang ; Ho, Chung-Han ; Chien, Chi-Sheng ; Wu, Tsung-Mu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-da936bf40a57833516a4caf77ab6ebb17446b3c8042bae42d94d07ac64bb7da33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Accuracy</topic><topic>Acetabular position</topic><topic>Acetabulum</topic><topic>Adults</topic><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Artificial hip joints</topic><topic>Biomechanics</topic><topic>Clinical Competence</topic><topic>Direct anterior approach</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Fluoroscopy - methods</topic><topic>Hip</topic><topic>Hip joint</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Joint - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Implants, Artificial</topic><topic>Joint replacement surgery</topic><topic>Joint surgery</topic><topic>Leg</topic><topic>Leg length discrepancy</topic><topic>Leg Length Inequality - diagnostic imaging</topic><topic>Leg Length Inequality - surgery</topic><topic>Male</topic><topic>Mechanical properties</topic><topic>Medical records</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Middle Aged</topic><topic>Necrosis</topic><topic>Patients</topic><topic>Physiological aspects</topic><topic>Posterolateral approach</topic><topic>Prostheses</topic><topic>Prosthesis</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Total hip arthroplasty</topic><topic>Transplants &amp; implants</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Po-Kuan</creatorcontrib><creatorcontrib>Chang, Wen-Shuo</creatorcontrib><creatorcontrib>Chen, Kuan-Ting</creatorcontrib><creatorcontrib>Huang, Po-Chang</creatorcontrib><creatorcontrib>Ho, Chung-Han</creatorcontrib><creatorcontrib>Chien, Chi-Sheng</creatorcontrib><creatorcontrib>Wu, Tsung-Mu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC musculoskeletal disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Po-Kuan</au><au>Chang, Wen-Shuo</au><au>Chen, Kuan-Ting</au><au>Huang, Po-Chang</au><au>Ho, Chung-Han</au><au>Chien, Chi-Sheng</au><au>Wu, Tsung-Mu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does the utilization of fluoroscopy affect the accuracy of prosthesis position in patients undergoing hip replacement surgery via the direct anterior approach compared to the posterolateral approach for an experienced surgeon? A single-center retrospective study</atitle><jtitle>BMC musculoskeletal disorders</jtitle><addtitle>BMC Musculoskelet Disord</addtitle><date>2024-10-15</date><risdate>2024</risdate><volume>25</volume><issue>1</issue><spage>816</spage><epage>7</epage><pages>816-7</pages><artnum>816</artnum><issn>1471-2474</issn><eissn>1471-2474</eissn><abstract>The direct anterior approach (DAA) for total hip arthroplasty (THA) has gained popularity due to perceived advantages in achieving better early outcomes. However, the theoretical benefits such as precise implant positioning and accurate leg length restoration are still inconsistent. In this study, we compared implant position and leg length discrepancy (LLD) of the DAA and posterolateral approach (PLA) conducted by a single surgeon who had mastered both approaches. This study retrospectively reviewed the medical records and radiographic images of 244 patients who underwent THA between 2012 and 2021 by a single experienced surgeon using either the DAA (n = 120) or PLA (n = 124). Postoperative pelvic anteroposterior radiographs at 6 months follow-up were used to assess acetabular component inclination and anteversion, as well as LLD. Mann-Whitney U tests and Chi-squared test were performed to compare outcomes between the two approaches. No significant differences were observed in patient demographics between the two groups. The DAA group demonstrated significantly lower postoperative LLD (0.00 mm) compared to the PLA group (5.00 mm, p &lt; 0.0001). No significant difference was observed in the Lewinnek zone for cup anteversion and inclination angles between the two groups. For experienced surgeons in other approaches, our findings suggest transferring to the DAA may not substantially improve cup positioning, but it might slightly enhance limb length measurement. For surgeons already proficient in other approaches and deciding to maintain those approaches, their primary concern for optimal THA outcome should be striving for leg length equivalence.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>39407225</pmid><doi>10.1186/s12891-024-07917-w</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0540-6283</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1471-2474
ispartof BMC musculoskeletal disorders, 2024-10, Vol.25 (1), p.816-7, Article 816
issn 1471-2474
1471-2474
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_ec42345c7e364addb45070b8a0531859
source Open Access: PubMed Central; Publicly Available Content Database (Proquest) (PQ_SDU_P3)
subjects Accuracy
Acetabular position
Acetabulum
Adults
Aged
Arthroplasty, Replacement, Hip - methods
Artificial hip joints
Biomechanics
Clinical Competence
Direct anterior approach
Female
Fluoroscopy
Fluoroscopy - methods
Hip
Hip joint
Hip Joint - diagnostic imaging
Hip Joint - surgery
Hip Prosthesis
Humans
Implants, Artificial
Joint replacement surgery
Joint surgery
Leg
Leg length discrepancy
Leg Length Inequality - diagnostic imaging
Leg Length Inequality - surgery
Male
Mechanical properties
Medical records
Medical research
Medicine, Experimental
Middle Aged
Necrosis
Patients
Physiological aspects
Posterolateral approach
Prostheses
Prosthesis
Radiography
Retrospective Studies
Surgeons
Surgery
Total hip arthroplasty
Transplants & implants
Treatment Outcome
title Does the utilization of fluoroscopy affect the accuracy of prosthesis position in patients undergoing hip replacement surgery via the direct anterior approach compared to the posterolateral approach for an experienced surgeon? A single-center retrospective study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T16%3A06%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Does%20the%20utilization%20of%20fluoroscopy%20affect%20the%20accuracy%20of%20prosthesis%20position%20in%20patients%20undergoing%20hip%20replacement%20surgery%20via%20the%20direct%20anterior%20approach%20compared%20to%20the%20posterolateral%20approach%20for%20an%20experienced%20surgeon?%20A%20single-center%20retrospective%20study&rft.jtitle=BMC%20musculoskeletal%20disorders&rft.au=Wu,%20Po-Kuan&rft.date=2024-10-15&rft.volume=25&rft.issue=1&rft.spage=816&rft.epage=7&rft.pages=816-7&rft.artnum=816&rft.issn=1471-2474&rft.eissn=1471-2474&rft_id=info:doi/10.1186/s12891-024-07917-w&rft_dat=%3Cgale_doaj_%3EA812424721%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c445t-da936bf40a57833516a4caf77ab6ebb17446b3c8042bae42d94d07ac64bb7da33%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3126416725&rft_id=info:pmid/39407225&rft_galeid=A812424721&rfr_iscdi=true