Yakkanti Ramakanth R, Sedani Anil, Greif Dylan N, Yakkanti Rukmini, Massel Dustin H, Hernandez Victor H
University of Miami Miller School of Medicine, Department of Orthopaedics, Miami, FL, USA.
University of Miami Miller School of Medicine, Miami, FL, USA.
Adv Orthop. 2022 Jun 17;2022:1974090. doi: 10.1155/2022/1974090. eCollection 2022.
The direct anterior approach (DAA) has garnered a lot of attention and surgical popularity for total hip arthroplasty in recent years. Some of the postulated advantages for the increase in popularity of this approach include better pain control and earlier recovery in the immediate postoperative period. The amount of literature available on this topic has rapidly increased over the last 10 years requiring the need for an updated guide to best navigate the topic.
The ISI Web of Knowledge database was used to search for research articles regarding the DAA surgical technique. The Boolean operative that yielded the largest search results was ([direct anterior approach hip] OR [anterior hip] OR [anterior hip arthroplasty] NOT [spine]).
92% of the highest cited articles on the DAA were published within the past two decades. One author, Keggi K, published 4 or more articles, with the highest citation average (110.5 citations). Recent articles were more strongly correlated with higher citation counts ( = 0.21 . 0.19).
This review clearly outlines the increasing trend in the most influential publications regarding DAA being published in the past two decades. This review allows interested surgeons to understand the historic literature pertaining to this topic. This review can assist future researchers in identifying trends in UKA as well as help clinicians navigate this body of literature.
近年来，直接前路入路（DAA）在全髋关节置换术中备受关注且手术应用广泛。该入路受欢迎程度增加的一些假定优势包括术后即刻更好的疼痛控制和更早的恢复。在过去10年里，关于这个主题的文献数量迅速增加，因此需要一份更新的指南来更好地探讨这个主题。
使用科学网（ISI Web of Knowledge）数据库搜索关于DAA手术技术的研究文章。产生最大搜索结果的布尔运算符是（[直接前路髋关节入路]或[前路髋关节]或[前路髋关节置换术] 非[脊柱]）。
关于DAA的被引用次数最多的文章中有92%是在过去二十年发表的。一位作者凯吉（Keggi K）发表了4篇或更多文章，平均被引用次数最高（110.5次引用）。近期文章与更高的引用次数相关性更强（ = 0.21，P < 0.19）。
本综述清晰地勾勒出过去二十年中关于DAA的最具影响力的出版物不断增加的趋势。本综述使感兴趣的外科医生能够了解与该主题相关的历史文献。本综述可帮助未来的研究人员识别单髁膝关节置换术（UKA）的趋势，并帮助临床医生梳理这一系列文献。
