{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:02:57Z","timestamp":1790640177096,"version":"4.1.0"},"reference-count":39,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"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":[[2026,10]]},"DOI":"10.1016\/j.arth.2026.06.017","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T23:55:25Z","timestamp":1781308525000},"page":"S431-S436","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"S1","title":["What Factors Increase the Risk of Dislocation After Primary Total Hip Arthroplasty Using the Direct Anterior Approach?"],"prefix":"10.1016","volume":"41","author":[{"given":"Michael P.","family":"Murphy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin R.","family":"Forti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Ho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5998-9461","authenticated-orcid":false,"suffix":"Jr.","given":"Robert H.","family":"Hopper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William G.","family":"Hamilton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.06.017_bib1","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.arth.2021.08.031","article-title":"A multivariate analysis to predict total hip arthroplasty dislocation with preoperative diagnosis, surgical approach, spinal pathology, cup orientation, and head size","volume":"37","author":"Murphy","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib2","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.1016\/j.arth.2020.01.033","article-title":"A comparison of risk of dislocation and cause-specific revision between direct anterior and posterior approach following elective cementless total hip arthroplasty","volume":"35","author":"Charney","year":"2020","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib3","doi-asserted-by":"crossref","first-page":"1987","DOI":"10.1016\/j.arth.2019.04.025","article-title":"Current trends in clinical practice for the direct anterior approach total hip arthroplasty","volume":"34","author":"Patel","year":"2019","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib4","doi-asserted-by":"crossref","first-page":"3860","DOI":"10.1007\/s11999-015-4565-6","article-title":"What is the learning curve for the anterior approach for total hip arthroplasty?","volume":"473","author":"De Steiger","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.06.017_bib5","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.arth.2026.06.017_bib6","doi-asserted-by":"crossref","first-page":"2829","DOI":"10.1016\/j.arth.2021.03.046","article-title":"Intraoperative complications and early return to the operating room in total hip arthroplasty performed through the direct anterior and posterior approaches. An institutional experience of surgeons after their learning curve","volume":"36","author":"Bendich","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib7","doi-asserted-by":"crossref","first-page":"840","DOI":"10.2106\/JBJS.16.00494","article-title":"Implant survival after minimally invasive anterior or anterolateral vs. conventional posterior or direct lateral approach. An analysis of 21,860 total hip arthroplasties from the Norwegian Arthroplasty Register (2008 to 2013)","volume":"99","author":"Mjaaland","year":"2017","journal-title":"J Bone J Surg Am"},{"key":"10.1016\/j.arth.2026.06.017_bib8","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/j.arth.2021.11.011","article-title":"Direct anterior approach for primary total hip arthroplasty lowers the risk of dislocation compared to the posterior approach: a single institutional experience","volume":"37","author":"Haynes","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib9","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.2106\/JBJS.21.01171","article-title":"Creation of a total hip arthroplasty patient-specific dislocation risk calculator","volume":"104","author":"Wyles","year":"2022","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2026.06.017_bib10","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1016\/j.arth.2019.02.029","article-title":"Mechanical complications following total hip arthroplasty based on surgical approach: a large, single-institution cohort study","volume":"34","author":"Fleischman","year":"2019","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib11","doi-asserted-by":"crossref","first-page":"3401","DOI":"10.1007\/s11999-015-4230-0","article-title":"Anterior and anterolateral approaches for THA are associated with lwoer dislocation risk without higher revision risk","volume":"473","author":"Sheth","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.06.017_bib12","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1186\/s13018-019-1095-z","article-title":"Direct anterior versus lateral approaches for clinical outcomes after total hip arthroplasty: a meta-analysis","volume":"14","author":"Wang","year":"2019","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.arth.2026.06.017_bib13","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1302\/0301-620X.103B7.BJJ-2020-2297.R1","article-title":"Dislocation rates following total hip arthroplasty via the direct anterior approach in a consecutive, non-selective cohort","volume":"103-B","author":"Horberg","year":"2021","journal-title":"Bone Joint J"},{"key":"10.1016\/j.arth.2026.06.017_bib14","doi-asserted-by":"crossref","first-page":"2355","DOI":"10.1016\/j.arth.2023.05.008","article-title":"Early practice all-cause complications for fellowship-trained anterior hip surgeons are not increased when compared to \u201cGold Standard\u201d experienced posterior approach surgeons","volume":"38","author":"Wilson","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib15","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/j.arth.2007.04.003","article-title":"Dislocation after total hip arthroplasty using hueter anterior approach","volume":"23","author":"Sariali","year":"2008","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib16","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1016\/j.arth.2022.05.016","article-title":"High prevalence of spinopelvic risk factors in patients with post-operative hip dislocations","volume":"38","author":"Vigdorchik","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib17","doi-asserted-by":"crossref","first-page":"3692","DOI":"10.1016\/j.arth.2021.07.003","article-title":"Is dislocation risk due to posterior pelvic tilt reduced with direct anterior approach total hip arthroplasty?","volume":"36","author":"Fritz","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib18","doi-asserted-by":"crossref","first-page":"e22.00038","DOI":"10.2106\/JBJS.RVW.22.00038","article-title":"Current evidence for spinopelvic characteristics influencing total hip arthroplasty dislocation risk","volume":"10","author":"van der Gronde","year":"2022","journal-title":"JBJS Rev"},{"key":"10.1016\/j.arth.2026.06.017_bib19","doi-asserted-by":"crossref","first-page":"1634","DOI":"10.1016\/j.arth.2013.01.034","article-title":"Prospective, randomized study of direct anterior versus postero-lateral approach for total hip arthroplasty","volume":"28","author":"Barrett","year":"2013","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib20","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1007\/s11999-014-3827-z","article-title":"Direct anterior versus miniposterior THA with the same advanced perioperative protocols: surprising early clinical results","volume":"473","author":"Poehling-Monaghan","year":"2015","journal-title":"Clin Orthop Relat Res"},{"issue":"7 Suppl 2","key":"10.1016\/j.arth.2026.06.017_bib21","doi-asserted-by":"crossref","first-page":"S300","DOI":"10.1016\/j.arth.2023.05.034","article-title":"How does surgical approach affect characteristics of dislocation after primary total hip arthroplasty?","volume":"38","author":"Christensen","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib22","doi-asserted-by":"crossref","first-page":"3004","DOI":"10.1016\/j.arth.2024.05.062","article-title":"Sex differences in complications following total hip arthroplasty: a population-based study","volume":"39","author":"Grant","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib23","doi-asserted-by":"crossref","first-page":"1949","DOI":"10.2106\/00004623-200211000-00007","article-title":"Late dislocation after total hip arthroplasty","volume":"84","author":"Von Knoch","year":"2002","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2026.06.017_bib24","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1016\/j.arth.2017.12.034","article-title":"Risk factors for early dislocation following primary elective total hip arthroplasty","volume":"33","author":"Gausden","year":"2018","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib25","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.5435\/JAAOS-D-22-00150","article-title":"Incidence, timing, and predictors of hip dislocation after primary total hip arthroplasty for osteoarthritis","volume":"30","author":"Gillinov","year":"2022","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.arth.2026.06.017_bib26","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.arth.2024.09.009","article-title":"The impact of leg length and offset change on dislocation risk following primary total hip arthroplasty","volume":"40","author":"Kaji","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib27","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.arth.2020.07.016","article-title":"High offset stems are protective of dislocation in high-risk total hip arthroplasty","volume":"36","author":"Vigdorchik","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib28","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.jor.2018.01.026","article-title":"Restoring femoral offset is the most important technical factor in preventing total hip arthroplasty dislocation","volume":"15","author":"Forde","year":"2018","journal-title":"J Orthop"},{"key":"10.1016\/j.arth.2026.06.017_bib29","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/s42836-024-00245-3","article-title":"Clinical effects of combined anteversion and offset on postoperative dislocation in total hip arthroplasty","volume":"6","author":"Hidaka","year":"2024","journal-title":"Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib30","doi-asserted-by":"crossref","first-page":"S546","DOI":"10.1016\/j.arth.2022.02.028","article-title":"The effect of hip offset and spinopelvic abnormalities on the risk of dislocation following total hip arthroplasty","volume":"37","author":"Heckmann","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib31","doi-asserted-by":"crossref","first-page":"217","DOI":"10.2106\/00004623-197860020-00014","article-title":"Dislocations after total hip-replacement arthroplasties","volume":"60","author":"Lewinnek","year":"1978","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2026.06.017_bib32","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1302\/0301-620X.87B6.14745","article-title":"Reducing the risk of dislocation after total hip arthroplasty. The effect of orientation of the acetabular component","volume":"87-B","author":"Biedermann","year":"2005","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.arth.2026.06.017_bib33","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/j.arth.2016.01.067","article-title":"Acetabular cup anteversion and inclination in hip range of motion to impingement","volume":"31","author":"McCarthy","year":"2016","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib34","doi-asserted-by":"crossref","first-page":"89","DOI":"10.5435\/00124635-200303000-00003","article-title":"Dislocation after total hip arthroplasty: implant design and orientation","volume":"11","author":"Barrack","year":"2003","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.arth.2026.06.017_bib35","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1177\/11207000211044807","article-title":"The effect of range of motion simulated with a patient-specific three-dimensional simulation analysis on dislocation after total hip arthroplasty","volume":"33","author":"Mitsutake","year":"2023","journal-title":"Hip Int"},{"key":"10.1016\/j.arth.2026.06.017_bib36","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1177\/1120700018759306","article-title":"Lack of consensus on optimal acetabular cup orientation because of variation in assessment methods in total hip arthroplasty: a systematic review","volume":"29","author":"Snijders","year":"2019","journal-title":"Hip Int"},{"key":"10.1016\/j.arth.2026.06.017_bib37","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.jor.2021.08.009","article-title":"Low dislocation rates with the use of patient specific \u201csafe zones\u201d in total hip arthroplasty","volume":"27","author":"Sharma","year":"2021","journal-title":"J Orthop"},{"key":"10.1016\/j.arth.2026.06.017_bib38","doi-asserted-by":"crossref","first-page":"S111","DOI":"10.1016\/j.arth.2021.01.008","article-title":"The hip-spine relationship in total hip arthroplasty: how to execute the plan","volume":"36","author":"Sharma","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.06.017_bib39","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1302\/0301-620X.92B1.22257","article-title":"A comparison of four systems for calibration when templating for total hip replacement with digital radiography","volume":"92","author":"Franken","year":"2010","journal-title":"J Bone Joint Surg Br"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326006169?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326006169?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:34:17Z","timestamp":1790638457000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540326006169"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":39,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0883540326006169"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.06.017","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"What Factors Increase the Risk of Dislocation After Primary Total Hip Arthroplasty Using the Direct Anterior Approach?","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.06.017","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"}]}}