{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T10:25:57Z","timestamp":1787394357306,"version":"build-2736575974"},"reference-count":31,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100013018","name":"Hospital for Special Surgery","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013018","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.arth.2026.05.057","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T23:34:57Z","timestamp":1779492897000},"page":"S148-S153","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"S1","title":["Early Postoperative Gait Metrics After Superior Transverse Anatomic Reconstruction (STAR) versus Direct Anterior Total Hip Arthroplasty: A Prospective Comparative Study"],"prefix":"10.1016","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6341-9564","authenticated-orcid":false,"given":"Carmelo","family":"Burgio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karlos E.","family":"Zepeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shrey","family":"Vachhani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsion","family":"Yared","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathav","family":"Vignesh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando Quevedo","family":"Gonzalez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Mayman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth A.","family":"Jerabek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Sculco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan M.","family":"Vigdorchik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eytan M.","family":"Debbi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.05.057_bib1","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1302\/0301-620X.99B6.38053","article-title":"The direct anterior approach in total hip arthroplasty: a systematic review of the literature","volume":"99-B","author":"Meermans","year":"2017","journal-title":"Bone Jt J"},{"key":"10.1016\/j.arth.2026.05.057_bib2","doi-asserted-by":"crossref","first-page":"1707","DOI":"10.1111\/os.13101","article-title":"Comparisons between direct anterior approach and lateral approach for primary total hip arthroplasty in postoperative orthopaedic complications: a systematic review and meta-analysis","volume":"13","author":"Huang","year":"2021","journal-title":"Orthop Surg"},{"key":"10.1016\/j.arth.2026.05.057_bib3","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1051\/sicotj\/2020015","article-title":"Total hip arthroplasty performed by direct anterior approach - does experience influence the learning curve?","volume":"6","author":"Foissey","year":"2020","journal-title":"SICOT J"},{"key":"10.1016\/j.arth.2026.05.057_bib4","doi-asserted-by":"crossref","first-page":"2919","DOI":"10.1016\/j.arth.2018.04.032","article-title":"Clinical outcomes of patients with lateral femoral cutaneous nerve injury after direct anterior total hip arthroplasty","volume":"33","author":"Patton","year":"2018","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.057_bib5","doi-asserted-by":"crossref","first-page":"2773","DOI":"10.1007\/s00590-023-03528-8","article-title":"Comparing direct anterior approach versus posterior approach or lateral approach in total hip arthroplasty: a systematic review and meta-analysis","volume":"33","author":"Ang","year":"2023","journal-title":"Eur J Orthop Surg Traumatol Orthop Traumatol"},{"key":"10.1016\/j.arth.2026.05.057_bib6","first-page":"360","article-title":"Piriformis-sparing technique in total hip arthroplasty with posterolateral approach","volume":"36","author":"Siddappa","year":"2020","journal-title":"Surg Technol Int"},{"key":"10.1016\/j.arth.2026.05.057_bib7","doi-asserted-by":"crossref","first-page":"e1482","DOI":"10.3928\/01477447-20131120-10","article-title":"Acetabular component positioning in primary THA via an anterior, posterolateral, or posterolateral-navigated surgical technique","volume":"36","author":"Nam","year":"2013","journal-title":"Orthopedics"},{"key":"10.1016\/j.arth.2026.05.057_bib8","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1051\/sicotj\/2023008","article-title":"Superior Transverse Atraumatic Reconstruction (STAR) approach provides a better-compared outcome to standard Direct Superior Approach (DSA): a matched, prospective comparative single-surgeon study","volume":"9","author":"Kenanidis","year":"2023","journal-title":"SICOT J"},{"key":"10.1016\/j.arth.2026.05.057_bib9","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1051\/sicotj\/2024030","article-title":"Piriformis preserving posterior approach STAR for primary and primary complex total hip arthroplasty: excellent safety and efficacy in a single blinded prospective single surgeon cohort of 522 patients with a mean follow-up of 2 years","volume":"10","author":"Kenanidis","year":"2024","journal-title":"SICOT J"},{"key":"10.1016\/j.arth.2026.05.057_bib10","doi-asserted-by":"crossref","DOI":"10.1016\/j.otsr.2021.103085","article-title":"MRI assessment of piriformis-sparing posterior approach in total hip arthroplasty","volume":"107","author":"Lalev\u00e9e","year":"2021","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.arth.2026.05.057_bib11","first-page":"609","article-title":"Piriformis-sparing vs. conventional posterior approach in total hip arthroplasty: a retrospective analysis of the functional outcomes","volume":"61","author":"Mutlu","year":"2025","journal-title":"Med Kaunas Lith"},{"key":"10.1016\/j.arth.2026.05.057_bib12","first-page":"301","article-title":"Influence of soft tissue preservation in total hip arthroplasty: a 16-year experience","volume":"33","author":"Bono","year":"2018","journal-title":"Surg Technol Int"},{"key":"10.1016\/j.arth.2026.05.057_bib13","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.gaitpost.2004.10.005","article-title":"Validity of the GAITRite walkway system for the measurement of averaged and individual step parameters of gait","volume":"22","author":"Webster","year":"2005","journal-title":"Gait Posture"},{"key":"10.1016\/j.arth.2026.05.057_bib14","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/S0966-6362(02)00053-X","article-title":"Concurrent related validity of the GAITRite walkway system for quantification of the spatial and temporal parameters of gait","volume":"17","author":"Bilney","year":"2003","journal-title":"Gait Posture"},{"key":"10.1016\/j.arth.2026.05.057_bib15","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1177\/1120700018760262","article-title":"A randomised trial comparing stero -temporal gait parameters after total hip arthroplasty between the direct anterior and direct lateral surgical approaches","volume":"28","author":"Zomar","year":"2018","journal-title":"HIP Int"},{"key":"10.1016\/j.arth.2026.05.057_bib16","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.bspc.2018.01.013","article-title":"Gait symmetry measures: a review of current and prospective methods","volume":"42","author":"Viteckova","year":"2018","journal-title":"Biomed Signal Process Control"},{"key":"10.1016\/j.arth.2026.05.057_bib17","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.gaitpost.2014.06.010","article-title":"Evidence for joint moment asymmetry in healthy populations during gait","volume":"40","author":"Lathrop-Lambach","year":"2014","journal-title":"Gait Posture"},{"key":"10.1016\/j.arth.2026.05.057_bib18","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.gaitpost.2009.10.014","article-title":"Evaluation of gait symmetry after stroke: a comparison of current methods and recommendations for standardization","volume":"31","author":"Patterson","year":"2010","journal-title":"Gait Posture"},{"key":"10.1016\/j.arth.2026.05.057_bib19","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1016\/j.clinbiomech.2009.07.010","article-title":"A prospective randomized assessment of earlier functional recovery in THA patients treated by minimally invasive direct anterior approach: a gait analysis study","volume":"24","author":"Mayr","year":"2009","journal-title":"Clin Biomech"},{"key":"10.1016\/j.arth.2026.05.057_bib20","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.jor.2025.05.029","article-title":"Evaluation of the relationship between muscle-tendon preservation and gait analysis in total hip arthroplasty","volume":"66","author":"Sato","year":"2025","journal-title":"J Orthop"},{"key":"10.1016\/j.arth.2026.05.057_bib21","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1097\/01.blo.0000238859.46615.34","article-title":"Muscle damage during MIS total hip arthroplasty: Smith-Peterson versus posterior approach","volume":"453","author":"Meneghini","year":"2006","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.05.057_bib22","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.arth.2019.09.030","article-title":"Assessment of early gait recovery after anterior approach compared to posterior approach total hip arthroplasty: a smartphone accelerometer\u2013based study","volume":"35","author":"Nelms","year":"2020","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.057_bib23","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1016\/j.arth.2013.11.021","article-title":"Similar improvement in gait parameters following direct anterior & posterior approach total hip arthroplasty","volume":"29","author":"Rathod","year":"2014","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.057_bib24","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.arth.2014.12.038","article-title":"Comparison of patient function during the first six weeks after direct anterior or posterior Total Hip Arthroplasty (THA): a randomized study","volume":"30","author":"Christensen","year":"2015","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.057_bib25","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.arth.2023.08.040","article-title":"The effect of surgical approach and hip offset reconstruction on gait biomechanics following total hip arthroplasty","volume":"39","author":"Ryan","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.057_bib26","doi-asserted-by":"crossref","first-page":"2347","DOI":"10.1007\/s00402-024-05245-1","article-title":"Motion acquisition of gait characteristics one week after total hip arthroplasty: a factor analysis","volume":"144","author":"Cattaneo","year":"2024","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.arth.2026.05.057_bib27","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1016\/j.otsr.2019.02.008","article-title":"Does the direct anterior approach allow earlier recovery of walking following total hip arthroplasty? A randomized prospective trial using accelerometry","volume":"105","author":"Bon","year":"2019","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.arth.2026.05.057_bib28","doi-asserted-by":"crossref","first-page":"7","DOI":"10.3390\/geriatrics10010007","article-title":"Effect of early postoperative gait parameters after total hip arthroplasty on forgotten joint Score-12 at 2-Year Follow-Up","volume":"10","author":"Okazawa","year":"2025","journal-title":"Geriatrics"},{"key":"10.1016\/j.arth.2026.05.057_bib29","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1051\/sicotj\/2018051","article-title":"Posterior versus direct anterior approach in total hip arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint Score-12","volume":"4","author":"Ozaki","year":"2018","journal-title":"SICOT J"},{"key":"10.1016\/j.arth.2026.05.057_bib30","doi-asserted-by":"crossref","DOI":"10.7759\/cureus.54323","article-title":"Functional outcomes and gait analysis of total hip arthroplasty through lateral hardinge approach and Gluteus medius-sparing approach: a prospective study","author":"Kushwaha","year":"2024","journal-title":"Cureus"},{"key":"10.1016\/j.arth.2026.05.057_bib31","article-title":"Superior transverse atraumatic reconstruction total hip arthroplasty achieves similar satisfaction and minimal clinically important differences when compared to the direct anterior approach: a propensity score matched study with two-year outcomes","author":"Jared Chua","year":"2025","journal-title":"J Arthroplasty"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326005747?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326005747?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T09:57:40Z","timestamp":1787392660000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540326005747"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":31,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S0883540326005747"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.05.057","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Early Postoperative Gait Metrics After Superior Transverse Anatomic Reconstruction (STAR) versus Direct Anterior Total Hip Arthroplasty: A Prospective Comparative Study","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.05.057","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}