{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T05:58:45Z","timestamp":1785045525828,"version":"3.55.0"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":80,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>To compare the clinical, radiographic, and complication outcomes of patients undergoing capsular repair or resection during total hip arthroplasty (THA) using the anterior approach.<\/jats:p>\n                  <jats:p>The present prospective cohort study included 232 patients submitted to THA at a tertiary hospital, who were divided according to exposure. One group of subjects underwent THA with capsular preservation and closure, and the other underwent THA with capsular resection (capsulectomy). Clinical assessment included the Harris Hip Score (HHS), evaluation of hip range of motion, and identification of symptoms indicative of iliopsoas tendinitis. Additionally, a radiological assessment determined the presence of heterotopic ossification, and we evaluated any postoperative complications.<\/jats:p>\n                  <jats:p>There was no statistically significant difference in HHS and hip range of motion. No patient from the capsular closure group presented complications. In the capsulectomy group, 7 (5.20%) subjects presented with heterotopic ossification, including 1 case classified as Brooker grade 3, besides 3 (2.25%) cases of iliopsoas tendinitis and 1 (0.75%) case of prosthesis dislocation.<\/jats:p>\n                  <jats:p>Capsular closure in THA using the direct anterior approach resulted in a lower incidence of iliopsoas tendinitis, heterotopic ossification, and complications, such as prosthesis dislocation, compared with the capsulectomy group.<\/jats:p>","DOI":"10.1055\/s-0046-1818602","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T01:20:17Z","timestamp":1776907217000},"page":"001-005","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Capsular Closure and Capsulectomy in Primary Total Hip Arthroplasty Using the Direct Anterior Approach"],"prefix":"10.1055","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4001-834X","authenticated-orcid":false,"given":"Bruno Dutra","family":"Roos","sequence":"additional","affiliation":[{"name":"Hip Surgery Service, Hospital Ortop\u00e9dico de Passo Fundo, Passo Fundo, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9551-5678","authenticated-orcid":false,"given":"Milton Valdomiro","family":"Roos","sequence":"additional","affiliation":[{"name":"Hip Surgery Service, Hospital Ortop\u00e9dico de Passo Fundo, Passo Fundo, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2880-1139","authenticated-orcid":false,"given":"Ezequiel Moreno Ungaretti","family":"Lima","sequence":"additional","affiliation":[{"name":"Hip Surgery Service, Hospital Ortop\u00e9dico de Passo Fundo, Passo Fundo, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3959-2159","authenticated-orcid":false,"given":"Mauricio Domingos","family":"Betto","sequence":"additional","affiliation":[{"name":"Hip Surgery Service, Hospital Ortop\u00e9dico de Passo Fundo, Passo Fundo, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8487-9602","authenticated-orcid":false,"given":"Juan Victor Guzman","family":"Gonzales","sequence":"additional","affiliation":[{"name":"Hip Surgery Service, Hospital Ortop\u00e9dico de Passo Fundo, Passo Fundo, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8627-4478","authenticated-orcid":false,"given":"Henrique Emanuelli Della","family":"M\u00e9a","sequence":"additional","affiliation":[{"name":"Hip Surgery Service, Hospital Ortop\u00e9dico de Passo Fundo, Passo Fundo, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"publisher","first-page":"232","DOI":"10.26502\/josm.511500106","article-title":"Surgical approaches in total hip arthroplasty","volume":"5","author":"R Supra","year":"2023","journal-title":"J Orthop Sports Med"},{"issue":"03","key":"ref2","doi-asserted-by":"publisher","first-page":"196","DOI":"10.5371\/hp.2024.36.3.196","article-title":"Direct anterior approach in total hip arthroplasty: a single center experience","volume":"36","author":"R Malhotra","year":"2024","journal-title":"Hip Pelvis"},{"issue":"04","key":"ref3","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1302\/0301-620X.101B4.BJJ\u20132018\u20131321.R1","article-title":"Hip capsule biomechanics after arthroplasty: the effect of implant, approach, and surgical repair","volume":"101-B","author":"K Logishetty","year":"2019","journal-title":"Bone Joint J"},{"issue":"02","key":"ref4","first-page":"3","volume":"22","author":"RdLd Lucena","year":"2022"},{"issue":"01","key":"ref5","doi-asserted-by":"publisher","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":"Z Wang","year":"2018","journal-title":"J Orthop Surg Res"},{"issue":"11","key":"ref6","doi-asserted-by":"publisher","first-page":"2246","DOI":"10.3390\/jcm10112246","article-title":"The direct anterior approach to primary total hip replacement: radiological analysis in comparison to other approaches","volume":"10","author":"A Stolarczyk","year":"2021","journal-title":"J Clin Med"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1590\/1413-785220223001e242758","article-title":"LIGAMENT PRESERVING TOTAL HIP ARTHROPLASTY PREVENTS DIFFERENT LEG LENGTH AND FEMORAL OFFSET","author":"M Fujita","year":"2022"},{"issue":"08","key":"ref8","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.2106\/00004623-197355080-00006","article-title":"Ectopic ossification following total hip replacement. Incidence and a method of classification","volume":"55","author":"A F Brooker","year":"1973","journal-title":"J Bone Joint Surg Am"},{"issue":"09","key":"ref9","doi-asserted-by":"publisher","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":"Z D Post","year":"2014","journal-title":"J Am Acad Orthop Surg"},{"issue":"01","key":"ref10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s42836-021-00104-5","article-title":"The direct anterior approach to the hip: a useful tool in experienced hands or just another approach?","volume":"4","author":"J Realyvasquez","year":"2022","journal-title":"Arthroplasty"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"34","DOI":"10.21037\/aoj.2018.04.01","article-title":"Surgical technique of direct anterior approach for total hip arthroplasty on a standard operating room table","volume":"3","author":"D C Holst","year":"2018","journal-title":"Ann Jt"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"845478","DOI":"10.3389\/fsurg.2022.845478","article-title":"Randomized clinical study on the efficacy of direct anterior approach combined with tendon release and repair after total hip arthroplasty","volume":"9","author":"G Li","year":"2022","journal-title":"Front Surg"},{"issue":"01","key":"ref13","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1093\/bmb\/ldab011","article-title":"Capsular repair vs capsulectomy in total hip arthroplasty","volume":"139","author":"L Miranda","year":"2021","journal-title":"Br Med Bull"},{"issue":"06","key":"ref14","doi-asserted-by":"publisher","first-page":"1111","DOI":"10.1007\/s00590-018-2166-2","article-title":"Preservation of the articular capsule and short lateral rotator in direct anterior approach to total hip arthroplasty","volume":"28","author":"A Kanda","year":"2018","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"01","key":"ref15","doi-asserted-by":"publisher","first-page":"2297","DOI":"10.1038\/s41598-024-52636-w","article-title":"Change in hip laxity after anterior capsular suture in total hip arthroplasty using direct anterior approach","volume":"14","author":"T Imagama","year":"2024","journal-title":"Sci Rep"},{"issue":"02","key":"ref16","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1302\/0301-620X.103B2.BJJ\u20132020\u20130529.R2","article-title":"Capsular resection versus capsular repair in direct anterior approach for total hip arthroplasty: a randomized controlled trial","volume":"103-B","author":"F J Vandeputte","year":"2021","journal-title":"Bone Joint J"},{"issue":"03","key":"ref17","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1016\/j.arth.2019.09.045","article-title":"Prospective evaluation of the posterior tissue envelope and anterior capsule after anterior total hip arthroplasty","volume":"35","author":"A S McLawhorn","year":"2020","journal-title":"J Arthroplasty"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0046-1818602.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T01:20:19Z","timestamp":1776907219000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0046-1818602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":17,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2026,3,19]]},"published-print":{"date-parts":[[2026,2]]}},"alternative-id":["s00461818602"],"URL":"https:\/\/doi.org\/10.1055\/s-0046-1818602","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"value":"0102-3616","type":"print"},{"value":"1982-4378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]}}}