{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T16:34:33Z","timestamp":1787934873416,"version":"build-2784847793"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"DOI":"10.1007\/s00402-025-06115-0","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T05:34:25Z","timestamp":1762493665000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Applied anatomical study of direct anterior approach total hip arthroplasty: optimizing surgical procedures and shortening learning curve"],"prefix":"10.1007","volume":"145","author":[{"given":"Xun","family":"Xu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinzhong","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,7]]},"reference":[{"issue":"8","key":"6115_CR1","doi-asserted-by":"publisher","first-page":"1971","DOI":"10.1007\/s00264-021-04986-7","volume":"45","author":"L Nairn","year":"2021","unstructured":"Nairn L, Gyemi L, Gouveia K, Ekhtiari S, Khanna V (2021) The learning curve for the direct anterior total hip arthroplasty: a systematic review. Int Orthop 45(8):1971\u20131982. https:\/\/doi.org\/10.1007\/s00264-021-04986-7","journal-title":"Int Orthop"},{"issue":"4","key":"6115_CR2","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1007\/s00590-021-03039-4","volume":"32","author":"D Soza","year":"2022","unstructured":"Soza D, Pujol O, Lara Y, Castellanos S, Hern\u00e1ndez A, Barro V (2022) A comparative of a single novice surgeon\u2019s direct anterior approach and posterior approach learning curves in total hip arthroplasty: a retrospective cohort study. Eur J Orthop Surg Traumatol 32(4):767\u2013774. https:\/\/doi.org\/10.1007\/s00590-021-03039-4","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"6115_CR3","doi-asserted-by":"publisher","first-page":"775","DOI":"10.2340\/17453674.2022.4802","volume":"93","author":"RM Peters","year":"2022","unstructured":"Peters RM, Ten Have B, Rykov K, Van Steenbergen L, Putter H, Rutgers M et al (2022) The learning curve of the direct anterior approach is 100 cases: an analysis based on 15,875 total hip arthroplasties in the Dutch arthroplasty register. Acta Orthop 93:775\u2013782. https:\/\/doi.org\/10.2340\/17453674.2022.4802","journal-title":"Acta Orthop"},{"issue":"2","key":"6115_CR4","doi-asserted-by":"publisher","first-page":"137","DOI":"10.2106\/jbjs.19.00667","volume":"102","author":"K Yoshino","year":"2020","unstructured":"Yoshino K, Nakamura J, Hagiwara S, Suzuki T, Kawasaki Y, Ohtori S (2020) Anatomical implications regarding femoral nerve palsy during a direct anterior approach to total hip arthroplasty: A cadaveric study. J Bone Joint Surg Am 102(2):137\u2013142. https:\/\/doi.org\/10.2106\/jbjs.19.00667","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"6115_CR5","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1186\/s42836-024-00269-9","volume":"6","author":"G Geraci","year":"2024","unstructured":"Geraci G, Di Martino A, Stefanini N, Brunello M, Ruta F, Pilla F et al (2024) Should we be concerned when the anterior approach to the hip goes accidentally medial? A retrospective study. Arthroplasty 6(1):47. https:\/\/doi.org\/10.1186\/s42836-024-00269-9","journal-title":"Arthroplasty"},{"issue":"2","key":"6115_CR6","doi-asserted-by":"publisher","first-page":"e0109","DOI":"10.2106\/jbjs.Rvw.19.00109","volume":"8","author":"SP Vajapey","year":"2020","unstructured":"Vajapey SP, Morris J, Lynch D, Spitzer A, Li M, Glassman AH (2020) Nerve injuries with the direct anterior approach to total hip arthroplasty. JBJS Rev 8(2):e0109. https:\/\/doi.org\/10.2106\/jbjs.Rvw.19.00109","journal-title":"JBJS Rev"},{"issue":"7","key":"6115_CR7","doi-asserted-by":"publisher","first-page":"561","DOI":"10.2106\/jbjs.15.01022","volume":"98","author":"D Rudin","year":"2016","unstructured":"Rudin D, Manestar M, Ullrich O, Erhardt J, Grob K (2016) The anatomical course of the lateral femoral cutaneous nerve with special attention to the anterior approach to the hip joint. J Bone Joint Surg Am 98(7):561\u2013567. https:\/\/doi.org\/10.2106\/jbjs.15.01022","journal-title":"J Bone Joint Surg Am"},{"issue":"6","key":"6115_CR8","doi-asserted-by":"publisher","first-page":"1833","DOI":"10.1016\/j.arthro.2018.01.012","volume":"34","author":"JD Bartlett","year":"2018","unstructured":"Bartlett JD, Lawrence JE, Khanduja V (2018) What is the risk posed to the lateral femoral cutaneous nerve during the use of the anterior portal of supine hip arthroscopy and the minimally invasive anterior approach for total hip arthroplasty? Arthroscopy 34(6):1833\u20131840. https:\/\/doi.org\/10.1016\/j.arthro.2018.01.012","journal-title":"Arthroscopy"},{"key":"6115_CR9","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1186\/s12891-016-0908-z","volume":"17","author":"M Rudert","year":"2016","unstructured":"Rudert M, Horas K, Hoberg M, Steinert A, Holzapfel DE, H\u00fcbner S et al (2016) The Wuerzburg procedure: the tensor fasciae Latae perforator is a reliable anatomical landmark to clearly identify the Hueter interval when using the minimally-invasive direct anterior approach to the hip joint. BMC Musculoskelet Disord 17:57. https:\/\/doi.org\/10.1186\/s12891-016-0908-z","journal-title":"BMC Musculoskelet Disord"},{"issue":"1","key":"6115_CR10","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1097\/PRS.0b013e3181ab114c","volume":"124","author":"MG Hubmer","year":"2009","unstructured":"Hubmer MG, Schwaiger N, Windisch G, Feigl G, Koch H, Haas FM et al (2009) The vascular anatomy of the tensor fasciae Latae perforator flap. Plast Reconstr Surg 124(1):181\u2013189. https:\/\/doi.org\/10.1097\/PRS.0b013e3181ab114c","journal-title":"Plast Reconstr Surg"},{"issue":"6S Suppl 6","key":"6115_CR11","doi-asserted-by":"publisher","first-page":"S421","DOI":"10.1097\/sap.0000000000001424","volume":"80","author":"JM Powers","year":"2018","unstructured":"Powers JM, Martinez M, Zhang S, Kale SS (2018) A description of the vascular anatomy of the tensor fascia Lata perforator flap using computed tomography angiography. Ann Plast Surg 80(6S Suppl 6):S421\u2013s425. https:\/\/doi.org\/10.1097\/sap.0000000000001424","journal-title":"Ann Plast Surg"},{"issue":"5","key":"6115_CR12","doi-asserted-by":"publisher","first-page":"1547","DOI":"10.1007\/s00590-022-03310-2","volume":"33","author":"M Kalhor","year":"2023","unstructured":"Kalhor M, Gharehdaghi J, Leunig M, Ganz R (2023) Lateral femoral circumflex artery contribution to the articular and periarticular hip circulation: relevance to the anterior hip approach-a cadaveric study. Eur J Orthop Surg Traumatol 33(5):1547\u20131555. https:\/\/doi.org\/10.1007\/s00590-022-03310-2","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"6115_CR13","doi-asserted-by":"publisher","first-page":"151566","DOI":"10.1016\/j.aanat.2020.151566","volume":"232","author":"T Totlis","year":"2020","unstructured":"Totlis T, Paparoidamis G, Terzidis I, Piagkou M, Tsiridis E, Natsis K (2020) Surgical anatomy of the lateral circumflex femoral artery branches: contribution to the blood loss control during hip arthroplasty. Ann Anat 232:151566. https:\/\/doi.org\/10.1016\/j.aanat.2020.151566","journal-title":"Ann Anat"},{"issue":"5","key":"6115_CR14","doi-asserted-by":"publisher","first-page":"262","DOI":"10.3928\/01477447-20220608-02","volume":"45","author":"KD Harper","year":"2022","unstructured":"Harper KD, Nzeogu MI, Vakil JJ, Abdelfadeel WM, Saxena A, Star AM (2022) A consistent anatomic landmark for identifying the lateral femoral circumflex artery in a direct anterior hip approach. Orthopedics 45(5):262\u2013268. https:\/\/doi.org\/10.3928\/01477447-20220608-02","journal-title":"Orthopedics"},{"key":"6115_CR15","doi-asserted-by":"publisher","unstructured":"W\u0142udyka K, Zielinska N, Tubbs RS, Ma\u015blanka K, Borowski A, Drobniewski M et al (2024) Morphological variability of lateral femoral cutaneous nerve and its potential clinical significance. Folia Morphol (Warsz) May 17. https:\/\/doi.org\/10.5603\/fm.98624","DOI":"10.5603\/fm.98624"},{"issue":"1","key":"6115_CR16","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1186\/s12891-022-05224-w","volume":"23","author":"T Ukai","year":"2022","unstructured":"Ukai T, Suyama K, Hayashi S, Omura H, Watanabe M (2022) The anatomical features of the lateral femoral cutaneous nerve with total hip arthroplasty: a comparative study of direct anterior and anterolateral supine approaches. BMC Musculoskelet Disord 23(1):267. https:\/\/doi.org\/10.1186\/s12891-022-05224-w","journal-title":"BMC Musculoskelet Disord"},{"issue":"1","key":"6115_CR17","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1186\/s13018-021-02661-6","volume":"16","author":"OA Phruetthiphat","year":"2021","unstructured":"Phruetthiphat OA, Sangthumprateep V, Trakulngernthai S, Aegakkatajit N, Chotanaphuti T, Chanpoo M (2021) Functional outcome and complication following THA through modified direct anterior approach correlated to cadaveric study: are there any differences in Asian hip? J Orthop Surg Res 16(1):513. https:\/\/doi.org\/10.1186\/s13018-021-02661-6","journal-title":"J Orthop Surg Res"},{"issue":"1","key":"6115_CR18","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1016\/j.arth.2020.07.052","volume":"36","author":"M Thaler","year":"2021","unstructured":"Thaler M, Dammerer D, Hechenberger F, H\u00f6rmann R, Van Beeck A, Stofferin H (2021) The anatomical course of the lateral femoral cutaneous nerve in relation to various skin incisions used for primary and revision total hip arthroplasty with the direct anterior approach. J Arthroplasty 36(1):368\u2013373. https:\/\/doi.org\/10.1016\/j.arth.2020.07.052","journal-title":"J Arthroplasty"},{"issue":"5","key":"6115_CR19","doi-asserted-by":"publisher","first-page":"e0217068","DOI":"10.1371\/journal.pone.0217068","volume":"14","author":"C Hoshino","year":"2019","unstructured":"Hoshino C, Koga D, Koyano G, Yamauchi Y, Sakai T, Okawa A et al (2019) Femoral nerve palsy following primary total hip arthroplasty with the direct anterior approach. PLoS ONE 14(5):e0217068. https:\/\/doi.org\/10.1371\/journal.pone.0217068","journal-title":"PLoS ONE"},{"issue":"5","key":"6115_CR20","doi-asserted-by":"publisher","first-page":"e217","DOI":"10.5435\/jaaos-d-20-00334","volume":"29","author":"A Siddiqi","year":"2021","unstructured":"Siddiqi A, Alden KJ, Yerasimides JG, Kamath AF (2021) Direct anterior approach for revision total hip arthroplasty: anatomy and surgical technique. J Am Acad Orthop Surg 29(5):e217\u2013e231. https:\/\/doi.org\/10.5435\/jaaos-d-20-00334","journal-title":"J Am Acad Orthop Surg"},{"issue":"5","key":"6115_CR21","doi-asserted-by":"publisher","first-page":"1341","DOI":"10.1016\/j.arth.2023.11.028","volume":"39","author":"H Stofferin","year":"2024","unstructured":"Stofferin H, Pfitscher K, H\u00f6rmann R, Gmeiner R, Thaler M (2024) The anatomical course of the femoral nerve with regard to the direct anterior approach for total hip arthroplasty. J Arthroplasty 39(5):1341\u20131347. https:\/\/doi.org\/10.1016\/j.arth.2023.11.028","journal-title":"J Arthroplasty"},{"issue":"6","key":"6115_CR22","doi-asserted-by":"publisher","first-page":"733","DOI":"10.1007\/s00276-024-03364-3","volume":"46","author":"W Witayakom","year":"2024","unstructured":"Witayakom W, Sukhonthamarn K, Kosuwon W, Apinyankul R (2024) An anatomic consideration of the femoral nerve during direct anterior hip approach: A cadaveric study. Surg Radiol Anat 46(6):733\u2013738. https:\/\/doi.org\/10.1007\/s00276-024-03364-3","journal-title":"Surg Radiol Anat"},{"issue":"7","key":"6115_CR23","doi-asserted-by":"publisher","first-page":"572","DOI":"10.2106\/jbjs.17.00679","volume":"100","author":"T Ishimatsu","year":"2018","unstructured":"Ishimatsu T, Kinoshita K, Nishio J, Tanaka J, Ishii S, Yamamoto T (2018) Motor-Evoked potential analysis of femoral nerve status during the direct anterior approach for total hip arthroplasty. J Bone Joint Surg Am 100(7):572\u2013577. https:\/\/doi.org\/10.2106\/jbjs.17.00679","journal-title":"J Bone Joint Surg Am"},{"issue":"21","key":"6115_CR24","doi-asserted-by":"publisher","first-page":"e969","DOI":"10.5435\/jaaos-d-18-00712","volume":"27","author":"CW Sullivan","year":"2019","unstructured":"Sullivan CW, Banerjee S, Desai K, Smith M, Roberts JT (2019) Safe zones for anterior acetabular Retractor placement in direct anterior total hip arthroplasty: A cadaveric study. J Am Acad Orthop Surg 27(21):e969\u2013e976. https:\/\/doi.org\/10.5435\/jaaos-d-18-00712","journal-title":"J Am Acad Orthop Surg"},{"key":"6115_CR25","doi-asserted-by":"publisher","first-page":"106303","DOI":"10.1016\/j.clinbiomech.2024.106303","volume":"118","author":"S Han","year":"2024","unstructured":"Han S, Byrd Z, Ismaily SK, Delgadillo LE, Freedhand AM, Rodriguze-Quintana D et al (2024) Contributions of capsular releases to femoral exposure in total hip arthroplasty via the direct anterior approach. Clin Biomech (Bristol) 118:106303. https:\/\/doi.org\/10.1016\/j.clinbiomech.2024.106303","journal-title":"Clin Biomech (Bristol)"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-025-06115-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-025-06115-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-025-06115-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T08:22:11Z","timestamp":1767169331000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-025-06115-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,7]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["6115"],"URL":"https:\/\/doi.org\/10.1007\/s00402-025-06115-0","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,7]]},"assertion":[{"value":"20 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"497"}}