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January 1, 2020SICOT-JOpen Access

Total hip arthroplasty performed by direct anterior approach – Does experience influence the learning curve?

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Authors

CFConstant FoisseyHôpital de la Croix-RousseMFMathieu FauvernierUniversité Claude Bernard Lyon 1CFCamdon FaryWestern Health

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Implication

Retrospective analysis investigates learning curve impact on surgical outcomes in total hip arthroplasty via direct anterior approach.

Key Points

  • This research evaluates how surgical experience affects the learning curve and clinical outcomes in total hip arthroplasty using the direct anterior approach.
  • Retrospective analysis of 525 total hip arthroplasties performed by one senior and six junior surgeons between May 2013 and December 2017.
  • Clinical outcomes were compared between senior and junior surgeons over an average follow-up of 36.2 months.
  • Learning curve metrics were assessed, focusing on complications and operating times.
  • Senior surgeons had significantly lower complication rates compared to junior surgeons, particularly in operating time and infection rate.
  • Trainees required around 10 direct anterior approach procedures to match the performance of senior surgeons.
  • Operating time for seniors became stable after completing 70 cases, while complications related to intraoperative fractures increased with experience in both groups.

Cite This Study

Foissey et al. (2020) studied this question.

synapsesocial.com/papers/6a5dede869f6c368eabc355bhttps://doi.org/10.1051/sicotj/2020015
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Adopting the direct anterior approach: experience and learning curve in a Chinese patient population2019 · 38 citations
  2. 2Influence of surgical approach on complication risk in primary total hip arthroplasty2018 · 87 citations
  3. 3Anterior Minimally Invasive Approach for Total Hip Replacement: Five-Year Survivorship and Learning Curve2014 · 66 citations