Direct Anterior Approach vs. Conventional Approaches in Total Hip Arthroplasty .
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A meta-analysis on RCTs of direct anterior and conventional approaches in total hip arthroplasty
Sci Rep. 2021 Oct 25;11(1): 20991.1053 total hip arthroplasty patients across 10 randomized controlled trials were included in this meta-analysis comparing the direct anterior approach to conventional approaches. Outcomes of interest included operative time, incision length, intra-operative blood loss, Harris Hip Scores (HHS), pain on a Visual Analog Scale (VAS) at day 1 post-operation, acetabular cup angle, and complications. Pooled results revealed no significant differences between groups in incision length, intra-operative blood loss, HHS scores up to 12 months post-operation, VAS pain scores on day 1 post-operation, complication rate, or acetabular cup inclination angle. Operative time was significantly longer, and acetabular cup anteversion angle significantly smaller, in the direct anterior approach group.
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