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May 25, 2024The Journal of ArthroplastyOpen Access

Surgeons Experience Greater Physiologic Stress and Strain in the Direct Anterior Approach Than the Posterior Approach for Total Hip Arthroplasty

Nicholas F. Cozzarelli Itay Ashkenazi Irfan A. Khan Jess H. Lonner Claudette M. Lajam Ran Schwarzkopf Joshua C. Rozell

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Abstract

The direct anterior approach (DAA) and posterior approach (PA) for total hip arthroplasty (THA) have advantages and disadvantages, but their physiologic burden to the surgeon has not been quantified. This study was conducted to determine whether differences exist in surgeon physiological stress and strain during DAA in comparison to PA.

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Cozzarelli et al. (2024) studied this question.

synapsesocial.com/papers/68e686c6b6db64358760f95a https://doi.org/10.1016/j.arth.2024.05.063

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Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Outcomes of Direct Anterior versus Posterior Approaches in Total Hip Arthroplasty: A Systematic Review2025 · 3 citations
2Direct Anterior Approach for Total Hip ArthroplastyOriginal Research · 2014 · 306 citations
3A comparison between the direct anterior and posterior approaches for total hip arthroplastyRetrospective Study · 2016 · 120 citations
4Comparison of direct anterior and posterior approaches in total hip arthroplasty within a mature surgical practice: A single surgeon analysis of complications and perioperative metricsCohort Study · 2026
5Direct Anterior Approach in Total Hip Arthroplasty2024

Direct Anterior or Posterolateral Approach for Primary Total Hip Arthroplasty? A Systematic Review of Early Recovery, Long-Term Outcomes, and Surgical Complications2026
No difference in early functional outcome between the direct anterior approach and posterior approach in patients following total hip arthroplasty2024
Direct Anterior Approach in Total Hip Arthroplasty: A Single Center Experience2024
Aortic Stenosis and Total Hip Arthroplasty Complications: The Role of Perioperative MedicationsThe Journal of Arthroplasty · 2026
Impact of Revised Cardiac Risk Index, Individual Risk Factors, and Their Duration on Major Adverse Cardiac Events After Primary Total Knee Arthroplasty: A Nationwide Propensity-Matched Cohort StudyThe Journal of Arthroplasty · 2026

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