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June 3, 2026Journal of the American Academy of Orthopaedic Surgeons

Systematic Review of Wound Complications After Direct Anterior Approach Total Hip Arthroplasty: Incidence, Risk Factors, and Management Strategies

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Authors

TSTejas SubramanianAOAlexander OlesSHSereen Halayqeh

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Overview

Systematic review examines wound complications in total hip arthroplasty, highlighting risks and management strategies.

Key Points

  • This systematic review characterizes the incidence and risk factors for wound complications post-direct anterior approach total hip arthroplasty.
  • Systematic review across eight databases following PRISMA guidelines.
  • Inclusion of studies reporting wound complications after primary DAA THA.
  • Meta-analysis comparing complication rates between transverse and longitudinal incisions.
  • Included 36 studies with 35,300 DAA THA.
  • Most common complications: superficial dehiscence (1.41%) and superficial surgical site infection (1.34%).
  • Transverse incisions showed a lower risk of complications with a relative risk of 0.45 (95% CI: 0.23-0.89; P=0.0219).

Cite This Study

Subramanian et al. (2026) studied this question.

synapsesocial.com/papers/6a1fc5d7dee9eb8c0dce727chttps://doi.org/10.5435/jaaos-d-25-01035
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Also Consider

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

  1. 1Bikinis, Tissue Protectors, and the Standard Longitudinal Incision: Comparable Wound Complications and Safety in Direct Anterior Approach Total Hip Arthroplasty2026
  2. 2Risk factors for wound complications in direct anterior total hip arthroplasty: a 10-year analysis2026
  3. 3Wound complications and clinical efficacy of the direct anterior approach versus the posterolateral approach in total hip arthroplasty: a systematic review and meta-analysis of randomized controlled trials2026 · 1 citations
  4. 4Direct Anterior Approach in Total Hip Arthroplasty2024
  5. 5Approach-specific complication management in direct anterior approach total hip arthroplasty2025