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Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
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Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
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Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
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Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
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Orthopedics-Traumatology and Prosthetic Surgery and Hip and Knee Revision, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
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Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
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( 7 , 8 , 9 ). THA by direct anterior approach (DAA) is gaining increasing popularity among orthopedic surgeons ( 10 ) due to the many advantages resulting from the use of an intermuscular approach: decreased bleeding, reduced hospitalization stay
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Care and Public Health Research Institute (CAPHRI) Maastricht University, Maastricht, the Netherlands
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Care and Public Health Research Institute (CAPHRI) Maastricht University, Maastricht, the Netherlands
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Care and Public Health Research Institute (CAPHRI) Maastricht University, Maastricht, the Netherlands
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disadvantages. The most used approaches are the direct anterior approach (DAA), posterior approach (PA), and straight lateral approach (SLA). Each approach can accomplish safe and efficient reconstruction of the joint ( 8 ). DAA is claimed to result in shorter
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Bolboacă SD Cosma D Lucaciu DOG Todor A . Transitioning to the direct anterior approach in total hip arthroplasty. Is it a true muscle sparing approach when performed by a low volume hip replacement surgeon? Int Orthop
Artro Institute, 8, rue du Pont de Thé, Annecy Le Vieux, France
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Artro Institute, 8, rue du Pont de Thé, Annecy Le Vieux, France
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with collarless stems ( 11 , 12 , 13 , 63 ). Furthermore, a recent indirect meta-analysis including both comparative and non-comparative studies on collared and collarless stems for THA, implanted by direct anterior approach, found that collared
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irreversibly compromising the abductor mechanism. Apart from the posterolateral approach, other authors have published good results using direct lateral with or without osteotomy approaches 21 and more recently using the direct anterior approach. 22 , 23
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the posterolateral in 1572 (40%) cases, a posterior approach was used in 895 (23%) cases, an antero-lateral approach in 622 (16%) cases, a direct anterior approach in 506 (13%) cases and a lateral approach in the last 275 (7%) cases. Survival
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through a minimally invasive direct anterior approach: clinical outcomes at five years’ follow-up . Int Orthop 2017 ; 41 : 699 – 705 . 44. Tostain O Debuyzer E Benad K et al. Ten-year outcomes of cementless
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Department Of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden
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Chen AF Heller S Hozack WJ . Direct anterior approach for revision total hip arthroplasty . Ann Transl Med 2014 ; 2 : 100 . 43. Crockarell J Dabov G . Extended trochanteric osteotomy for total hip
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2023 33 2101 – 2109 . ( https://doi.org/10.1007/s00590-022-03407-8 ) 54 Kain MS & Willier D 3rd . Hemiarthroplasty through a direct anterior approach for femoral neck fractures . Journal of Orthopaedic Trauma 2020 34 ( Supplement 2 ) S25 – S
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anterior approach, have been widely promoted in the last few years. The promotion has been carried out by scientific, mass media and internet advertisement. There is no doubt about the good and comparable results to the other more traditional approaches
