{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:35:33Z","timestamp":1787754933899,"version":"build-2784847793"},"reference-count":97,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb In total hip arthroplasty, the advantages of the direct anterior approach (DAA) compared with the direct lateral and posterior approaches include a true intermuscular approach that spares the abductor musculature, protects the soft tissues surrounding the hip, and thus maintains hip joint stability.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb The disadvantages of the DAA compared with the direct lateral and posterior approaches include a steep learning curve; intraoperative radiation exposure; injury to the nerves, vessels, and muscles; and intraoperative and early postoperative complications including blood loss, wound-healing problems, increased time under anesthesia, proximal femoral fractures and dislocations, complex femoral exposure and bone preparation, and sagittal malalignment of the stem leading to loosening and an increased revision rate.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Stem implantation in flexed sagittal position and early femoral-stem failures are more common with the DAA compared with the direct lateral and posterior approaches.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.19.00144","type":"journal-article","created":{"date-parts":[[2020,4,18]],"date-time":"2020-04-18T11:48:50Z","timestamp":1587210530000},"page":"e0144-e0144","source":"Crossref","is-referenced-by-count":31,"title":["Direct Anterior Approach Total Hip Arthroplasty Revisited"],"prefix":"10.2106","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9997-4846","authenticated-orcid":false,"given":"Dimitrios A.","family":"Flevas","sequence":"first","affiliation":[{"name":"First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3695-0759","authenticated-orcid":false,"given":"Andreas G.","family":"Tsantes","sequence":"additional","affiliation":[{"name":"First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0807-0719","authenticated-orcid":false,"given":"Andreas F.","family":"Mavrogenis","sequence":"additional","affiliation":[{"name":"First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"9","key":"r1-20230807","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"},{"issue":"9597","key":"r2-20230807","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1016\/S0140-6736(07)60457-7","article-title":"The operation of the century: total hip replacement","volume":"370","author":"Learmonth","year":"2007","journal-title":"Lancet"},{"issue":"4","key":"r3-20230807","doi-asserted-by":"crossref","first-page":"405","DOI":"10.4103\/ortho.IJOrtho_177_17","article-title":"Outcomes following total hip arthroplasty: a review of the registry data","volume":"51","author":"Malviya","year":"2017","journal-title":"Indian J Orthop"},{"issue":"193","key":"r5-20230807","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1002\/bjs.18004519315","article-title":"The surgery of the osteoarthritic hip","volume":"45","author":"Wiles","year":"1958","journal-title":"Br J Surg"},{"issue":"7187","key":"r6-20230807","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1016\/S0140-6736(61)92063-3","article-title":"Arthroplasty of the hip. 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