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May 22, 2026Arthroplasty TodayOpen Access

Bikinis, Tissue Protectors, and the Standard Longitudinal Incision: Comparable Wound Complications and Safety in Direct Anterior Approach Total Hip Arthroplasty

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Authors

WCWilliam K. CrockattRSRiley SevenskyMRMark Ren

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Overview

Retrospective review compares wound complications in total hip arthroplasty, indicating effective incision options.

Key Points

  • This study aims to compare wound complication rates associated with different incision types in direct anterior approach total hip arthroplasty.
  • Retrospective review of 925 primary DAA THAs with three incision types: standard longitudinal, bikini, and longitudinal with tissue protector.
  • Wound data included types of complications and treatments, analyzed using pairwise Fisher exact testing and multivariable regression.
  • Controlled for various factors including age, sex, body mass index, surgical indication, and operative time.
  • 37 (4.0%) wound complications were observed, with 34 (3.7%) being superficial and 3 (0.3%) deep infections.
  • Both bikini incisions (2.4%) and tissue protectors (0.0%) had fewer overall complications compared to standard longitudinal incisions (6.5%).
  • Bikini incision demonstrated similar safety to the standard approach (adjusted Odds Ratio: 0.49; P = .23) when controlling for surgeon factors.

Cite This Study

Crockatt et al. (2026) studied this question.

synapsesocial.com/papers/6a0ff496d674f7c03778db6ehttps://doi.org/10.1016/j.artd.2026.102037
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