{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:10:21Z","timestamp":1790021421103,"version":"4.0.1"},"reference-count":25,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroplastytoday.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroplasty Today"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.artd.2026.102040","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T20:30:47Z","timestamp":1786480247000},"page":"102040","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["\u201cE-Spot\u201d (Obturator \u2018E\u2019xternus Tendon Femoral Origin) as an Intraoperative Landmark for Femoral Preparation During \u201cOff-Table\u201d Anterior Approach"],"prefix":"10.1016","volume":"40","author":[{"given":"Elad","family":"Apt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graeme","family":"Hoit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bheeshma","family":"Ravi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3783-8205","authenticated-orcid":false,"given":"Daniel","family":"Pincus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.artd.2026.102040_bib1","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.1016\/S0140-6736(18)31777-X","article-title":"Hip replacement","volume":"392","author":"Ferguson","year":"2018","journal-title":"Lancet"},{"key":"10.1016\/j.artd.2026.102040_bib4","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.artd.2022.07.017","article-title":"Patients are most interested in which hip arthroplasty approach? A 15-year google trends analysis","volume":"17","author":"Moore","year":"2022","journal-title":"Arthroplast Today"},{"key":"10.1016\/j.artd.2026.102040_bib5","doi-asserted-by":"crossref","first-page":"595","DOI":"10.5435\/JAAOS-22-09-595","article-title":"Direct anterior approach for total hip arthroplasty: indications, technique, and results","volume":"22","author":"Post","year":"2014","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.artd.2026.102040_bib6","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1016\/j.arth.2012.10.029","article-title":"A comparison of hospital length of stay and short-term morbidity between the anterior and the posterior approaches to total hip arthroplasty","volume":"28","author":"Martin","year":"2013","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.artd.2026.102040_bib7","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1186\/s13018-018-0929-4","article-title":"A systematic review and meta-analysis of direct anterior approach versus posterior approach in total hip arthroplasty","volume":"13","author":"Wang","year":"2018","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.artd.2026.102040_bib8","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1097\/01.blo.0000194309.70518.cb","article-title":"Single-incision anterior approach for total hip arthroplasty on an orthopaedic table","volume":"441","author":"Matta","year":"2005","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.artd.2026.102040_bib9","doi-asserted-by":"crossref","first-page":"99","DOI":"10.2106\/JBJS.16.00060","article-title":"Direct anterior approach: risk factor for early femoral failure of cementless total hip arthroplasty: a multicenter study","volume":"99","author":"Meneghini","year":"2017","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.artd.2026.102040_bib10","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.2147\/JPR.S166058","article-title":"In-hospital outcomes with anterior versus posterior approaches in total hip arthroplasty: meta-analysis of randomized controlled trials","volume":"11","author":"Miller","year":"2018","journal-title":"J Pain Res"},{"key":"10.1016\/j.artd.2026.102040_bib11","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1080\/17453674.2018.1438694","article-title":"Influence of surgical approach on complication risk in primary total hip arthroplasty","volume":"89","author":"Miller","year":"2018","journal-title":"Acta Orthop"},{"key":"10.1016\/j.artd.2026.102040_bib12","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1016\/j.arth.2017.11.011","article-title":"Does surgical approach affect outcomes in total hip arthroplasty through 90 days of follow-up? A systematic review with meta-analysis","volume":"33","author":"Miller","year":"2018","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.artd.2026.102040_bib13","doi-asserted-by":"crossref","first-page":"573","DOI":"10.5301\/hipint.5000507","article-title":"Intraoperative fluoroscopy with a direct anterior approach reduces variation in acetabular cup abduction angle","volume":"27","author":"Goodman","year":"2017","journal-title":"Hip Int"},{"key":"10.1016\/j.artd.2026.102040_bib14","doi-asserted-by":"crossref","first-page":"e970","DOI":"10.3928\/01477447-20151020-04","article-title":"Intraoperative fluoroscopy improves component position during anterior hip arthroplasty","volume":"38","author":"Jennings","year":"2015","journal-title":"Orthopedics"},{"key":"10.1016\/j.artd.2026.102040_bib15","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1177\/1120700019868665","article-title":"Intraoperative evaluation of acetabular cup position during anterior approach total hip arthroplasty: are we accurately interpreting?","volume":"30","author":"Delagrammaticas","year":"2020","journal-title":"Hip Int"},{"key":"10.1016\/j.artd.2026.102040_bib16","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1007\/s00402-021-03920-1","article-title":"Comparison between freehand technique and computed tomography-based navigation in acetabular cup placement through direct anterior approach for total hip arthroplasty","volume":"142","author":"Nishihara","year":"2022","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.artd.2026.102040_bib17","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/j.arth.2013.08.020","article-title":"Total hip arthroplasty using imageless computer-assisted hip navigation: a prospective randomized study","volume":"29","author":"Lass","year":"2014","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.artd.2026.102040_bib18","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1586\/17434440.2016.1124018","article-title":"Robot-assisted total hip arthroplasty","volume":"13","author":"Banerjee","year":"2016","journal-title":"Expert Rev Med Devices"},{"key":"10.1016\/j.artd.2026.102040_bib19","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s11999-013-3253-7","article-title":"Comparison of robotic-assisted and conventional acetabular cup placement in THA: a matched-pair controlled study","volume":"472","author":"Domb","year":"2014","journal-title":"Clin Orthop Relat Res"},{"issue":"4 Suppl 1","key":"10.1016\/j.artd.2026.102040_bib20","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.arth.2004.02.018","article-title":"Leg length discrepancy after total hip arthroplasty","volume":"19","author":"Maloney","year":"2004","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.artd.2026.102040_bib21","series-title":"Low friction arthroplasty of the hip: theory and practice","author":"Charnley","year":"1979"},{"key":"10.1016\/j.artd.2026.102040_bib22","doi-asserted-by":"crossref","first-page":"1842","DOI":"10.1097\/CORR.0000000000001799","article-title":"The external obturator footprint is a usable, accurate, and reliable landmark for stem depth in direct anterior THA","volume":"479","author":"Vles","year":"2021","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.artd.2026.102040_bib23","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1177\/1120700018761320","article-title":"The external obturator footprint as a landmark in total hip arthroplasty through a direct anterior approach: a CT-based analysis","volume":"29","author":"R\u00fcdiger","year":"2019","journal-title":"Hip Int"},{"key":"10.1016\/j.artd.2026.102040_bib24","doi-asserted-by":"crossref","first-page":"424","DOI":"10.5301\/hipint.5000249","article-title":"The anatomy and function of the obturator externus","volume":"25","author":"Gudena","year":"2015","journal-title":"Hip Int"},{"key":"10.1016\/j.artd.2026.102040_bib25","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1186\/s13018-024-04852-3","article-title":"Indirect comparisons of traction table versus standard table in total hip arthroplasty through direct anterior approach: a systematic review and frequentist network meta-analysis","volume":"19","author":"Ramadanov","year":"2024","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.artd.2026.102040_bib26","first-page":"432","article-title":"Primary hip arthroplasty templating on standard radiographs. A stepwise approach","volume":"76","author":"Scheerlinck","year":"2010","journal-title":"Acta Orthop Belg"},{"key":"10.1016\/j.artd.2026.102040_bib27","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1007\/s11999-008-0141-7","article-title":"Femoral morphology differs between deficient and excessive acetabular coverage","volume":"466","author":"Steppacher","year":"2008","journal-title":"Clin Orthop Relat Res"}],"container-title":["Arthroplasty Today"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352344126000890?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352344126000890?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T19:34:51Z","timestamp":1790019291000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2352344126000890"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":25,"alternative-id":["S2352344126000890"],"URL":"https:\/\/doi.org\/10.1016\/j.artd.2026.102040","relation":{},"ISSN":["2352-3441"],"issn-type":[{"value":"2352-3441","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"\u201cE-Spot\u201d (Obturator \u2018E\u2019xternus Tendon Femoral Origin) as an Intraoperative Landmark for Femoral Preparation During \u201cOff-Table\u201d Anterior Approach","name":"articletitle","label":"Article Title"},{"value":"Arthroplasty Today","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.artd.2026.102040","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc. on behalf of American Association of Hip and Knee Surgeons.","name":"copyright","label":"Copyright"}],"article-number":"102040"}}