{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T01:11:46Z","timestamp":1780621906070,"version":"3.54.1"},"reference-count":25,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T00:00:00Z","timestamp":1525824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Compared to a lateral or posterior approach (PA), the direct anterior approach (DAA) does permit a better muscle preservation for total hip arthroplasty (THA). However, there is concern whether this advantage come with increased wound complication and infection leading to reoperation or sometimes major procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>We retrospectively reviewed all patients who underwent primary THA through the PA between January 2009 and April 2013 ( n = 796) and through the DAA between January 2011 and April 2013 ( n = 399) at our institution with a minimum of 2 years follow up regarding all wound complications and all infections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the 796 patients in the PA group, there were 6 wound complications leading to reoperation and 6 infections; 4 early and 2 delayed onset. Among the infected cases, one was obese (body mass index [BMI] &gt;30 kg\/m2). Two procedures were teaching-based. Of the 399 patients in the DAA group, there were three dehiscences leading to reoperation, two of which were in obese patients. 6 infections were also found; 4 with early and 2 with delayed onset. Of the infected cases, three were obese. 4 procedures were teaching-based.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In our series of patients undergoing THA, the DAA did not increase the rates of either wound complications leading to reoperation nor early or delayed infection compared to the PA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120700018759617","type":"journal-article","created":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T02:47:26Z","timestamp":1525920446000},"page":"591-598","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Are there more wound complications or infections with direct anterior approach total hip arthroplasty?"],"prefix":"10.1177","volume":"28","author":[{"given":"Christophe","family":"Tissot","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Lausanne University Hospital, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Vautrin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Lausanne University Hospital, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anais","family":"Luyet","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Ensemble Hospitalier du Nord Vaudois, Yverdon Hospital, Yverdon, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Borens","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Lausanne University Hospital, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,5,9]]},"reference":[{"key":"bibr1-1120700018759617","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200405000-00012"},{"key":"bibr2-1120700018759617","first-page":"1031","volume":"14","author":"Judet J","year":"1985","journal-title":"Presse Med"},{"key":"bibr3-1120700018759617","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-194931010-00003"},{"key":"bibr4-1120700018759617","volume-title":"Grundriss der Chirurgie","author":"Hueter 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