{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T17:26:31Z","timestamp":1794072391072,"version":"4.8.0"},"reference-count":21,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"11_Supple_A","license":[{"start":{"date-parts":[[2014,11,1]],"date-time":"2014-11-01T00:00:00Z","timestamp":1414800000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:p> Direct anterior approaches to the hip have gained popularity as a minimally invasive method when performing primary total hip replacement (THR). A retrospective review of a single institution joint registry was performed in order to compare patient outcomes after THR using the Anterior Supine Intermuscular (ASI) approach versus a more conventional direct lateral approach. An electronic database identified 1511 patients treated with 1690 primary THRs between January 2006 and December 2010. Our results represent a summary of findings from our previously published work. We found that patients that underwent an ASI approach had faster functional recovery and higher Harris hip scores in the early post-operative period when compared with patients who had a direct lateral approach The overall complication rate in our ASI group was relatively low (1.7%) compared with other series using the same approach. The most frequent complication was early periprosthetic femoral fractures (0.9%). The dislocation rate in our series was 0.4% and the prosthetic joint infection rate was 0.1%. We suggest that the ASI approach is acceptable and safe when performing THR and encourages early functional recovery of our patients. <\/jats:p><jats:p> Cite this article: Bone Joint J 2014;96- B(11 Suppl A):32\u20135. <\/jats:p>","DOI":"10.1302\/0301-620x.96b11.34348","type":"journal-article","created":{"date-parts":[[2014,11,7]],"date-time":"2014-11-07T15:04:23Z","timestamp":1415372663000},"page":"32-35","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":57,"title":["A mini-anterior approach to the hip for total joint replacement: optimising results"],"prefix":"10.1302","volume":"96-B","author":[{"given":"A. J.","family":"Mirza","sequence":"first","affiliation":[{"name":"Summit Orthopaedics, 2801\rN. Gantenbein Avenue, Portland, Oregon\r97227, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. V.","family":"Lombardi Jr","sequence":"additional","affiliation":[{"name":"Joint Implant Surgeons, 7277\rSmith's Mill Road, Suite 200, New\rAlbany, Ohio, 43054, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. J.","family":"Morris","sequence":"additional","affiliation":[{"name":"Joint Implant Surgeons, 7277\rSmith's Mill Road, Suite 200, New\rAlbany, Ohio, 43054, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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