{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T11:27:22Z","timestamp":1786793242379,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The purpose of this study was to identify risk factors associated with wound complications following DAA THA and to evaluate the incidence of these wound issues when negative pressure wound therapy (NPWT) was used as the primary surgical dressing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We reviewed 725 patients from five different surgeons at a single institution who underwent THA through a DAA from 2011 to 2023. Medical records were reviewed for demographics, comorbidities, surgical details, and a broad set of criteria denoting wound complications or dehiscence. Univariate and multivariate analyses were performed to identify potential risk factors. Secondary outcomes included periprosthetic joint infection (PJI), 90-day emergency room visits, readmission, and all-cause revision rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      83 (11.4%) patients developed a wound complication based on criteria. Univariate analysis showed that increased body mass index (BMI) (mean 30.4 vs. 27.8,\n                      <jats:italic toggle=\"yes\">p\u2009&lt;<\/jats:italic>\n                      \u20090.001), surgical time (138.0 vs. 108.5\u2009minutes,\n                      <jats:italic toggle=\"yes\">p\u2009&lt;<\/jats:italic>\n                      \u20090.001), hospital length of stay (50.4 vs. 40.6\u2009hours,\n                      <jats:italic toggle=\"yes\">p\u2009=<\/jats:italic>\n                      \u20090.013), DAA surgeon experience of less than 1\u2009year (\n                      <jats:italic toggle=\"yes\">p\u2009=<\/jats:italic>\n                      \u20090.012) and use of NPWT (25.3 vs. 11.6%,\n                      <jats:italic toggle=\"yes\">p\u2009&lt;<\/jats:italic>\n                      \u20090.001) were associated with wound complications. Multivariate analysis further demonstrated BMI (OR 1.06 [1.01\u20131.11]\n                      <jats:italic toggle=\"yes\">p\u2009=<\/jats:italic>\n                      \u20090.016), longer surgical time (OR 1.01 [1.00\u20131.01]\n                      <jats:italic toggle=\"yes\">p\u2009=<\/jats:italic>\n                      \u20090.004), and NPWT use (OR 2.1 [1.2\u20133.9],\n                      <jats:italic toggle=\"yes\">p\u2009=<\/jats:italic>\n                      \u20090.016) as associated with higher rates of wound complications. Patients with wound complications had higher rates of 90-day emergency room visits (10.8 vs. 4.4%,\n                      <jats:italic toggle=\"yes\">p\u2009=<\/jats:italic>\n                      \u20090.018), readmissions (15.7 vs. 3.9%,\n                      <jats:italic toggle=\"yes\">p\u2009&lt;<\/jats:italic>\n                      \u20090.001), all-cause revision (19.3 vs. 2.8%,\n                      <jats:italic toggle=\"yes\">p\u2009&lt;<\/jats:italic>\n                      \u20090.001) and PJIs (13.3 vs. 0.5%,\n                      <jats:italic toggle=\"yes\">p\u2009=<\/jats:italic>\n                      \u20090.005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Obesity, length-of-stay, longer surgical time, and surgeon DAA experience &lt;1\u2009year were identified as risk factors for wound complications following DAA THA in our series. Prophylactic use of NPWT was not associated with a lower risk of wound complications in our cohort. Patients with wound complications had higher rates of PJI, readmission, and reoperation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000261467289","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T13:14:11Z","timestamp":1786540451000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk factors for wound complications in direct anterior total hip arthroplasty: a 10-year analysis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8610-2547","authenticated-orcid":false,"given":"Benjamin C","family":"Schaffler","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Haider","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Manjunath","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roy","family":"Davidovitch","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Hepinstall","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Rozell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2009.02.007"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.04.025"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-009-0870-4"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2021.11.011"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.01.034"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-22-09-595"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-021-04986-7"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2015.06.016"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.101B6.BJJ-2018-0786.R1"},{"key":"e_1_3_2_11_2","article-title":"Surgical approach to total hip arthroplasty affects the organism profile of early periprosthetic joint infections","volume":"5","author":"Buchalter DB","year":"2020","unstructured":"Buchalter DB, Teo GM, Kirby DJ, et al. 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