HIP International最新文献

{"title":"The increasing burden of revision arthroplasty for infection and fracture: perspectives of a tertiary referral centre.","authors":"Thomas Robertson, Oscar Kinman, Samuel H Benveniste, Kerry Costi, Taisha D'Apollonio, Deepti Sharma, Kate Southam, Gerald Atkins, Michael Wyatt, Lucian Bogdan Solomon, Boopalan Ramasamy, Stuart A Callary","doi":"10.1177/11207000261469476","DOIUrl":"https://doi.org/10.1177/11207000261469476","url":null,"abstract":"<p><strong>Background: </strong>In public hospitals the number of complex urgent and semi-urgent revision joint replacements has increased over time, conversely the number of primary joint replacements has decreased. This study aimed to investigate the effect of this change on service delivery of elective surgery and training in one large metropolitan hospital.</p><p><strong>Methods: </strong>We retrospectively reviewed changes in staffing, workload and all hip and knee joint replacements performed at the Royal Adelaide Hospital over a 20-year period, between January 2003 to December 2023.</p><p><strong>Results: </strong>The number of primary total hip replacements (THR) and total knee replacements (TKR) performed on elective lists has decreased from 210/year to 140/year. The number of revisions THR and TKR increased from 76/year to 219/year (135 septic). The number of patients awaiting elective surgery has increased from 220 in 1999 (THR 18) to 597 in 2024 (THR 69).</p><p><strong>Conclusions: </strong>There is an urgent need of decisions by local policy makers to plan for the continual increase in THR and TKR as well as revision joint replacements. The significant change in pathology requires consideration of staffing, training and funding to account for the increased number of complex septic revisions.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261469476"},"PeriodicalIF":1.3,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total hip arthroplasty in paediatric patients with cerebral palsy: mid- to long-term outcomes of a retrospective cohort.","authors":"Alexandra M Stein, Pierre Mary, Thomas Demoures, Reda Kabaj, Raphael Vialle, Mathilde Gaumé","doi":"10.1177/11207000261472391","DOIUrl":"https://doi.org/10.1177/11207000261472391","url":null,"abstract":"<p><strong>Introduction: </strong>Total hip arthroplasty (THA) is commonly performed in adults with excellent outcomes. Its use in the paediatric population remains rare due to concerns regarding potential damage to the growth plate, pelvic biomechanical changes during growth, leg-length discrepancies, and implant longevity. Although modern prostheses have an estimated lifespan of approximately 30 years, durability remains a major concern in young patients. However, in selected cases, particularly in spastic patients suffering from chronic painful hip dislocation, medical options may be exhausted, and conservative surgical procedures may no longer be effective. The aim of this study was to evaluate the mid- to long-term outcomes of paediatric patients with cerebral palsy who underwent THA.</p><p><strong>Methods: </strong>This retrospective single-centre study included 22 paediatric patients with cerebral palsy who underwent THA. Clinical outcomes were analysed according to patient characteristics and prosthetic factors. The primary outcome was chronic pain relief, defined as absence of pain at the last follow-up. Secondary outcomes included postoperative complications and rehospitalisation within 90 days of surgery.</p><p><strong>Results: </strong>The mean age at surgery was 15.6 years. The mean follow-up duration was 11.1 ± 3.7 years. Preoperative chronic pain was present in all patients except 1, who was non-communicative; in this case, the surgical indication was based on radiographic evidence of hip dislocation. The overall complication rate was 22% (<i>n</i> = 5), including 2 dislocations, 1 trochanteric nonunion, 1 intraoperative distal femoral fracture requiring plate fixation, and 1 femoral component loosening at 10-year follow-up. No postoperative infections were observed. Rehospitalisation within 3 months occurred in 13.6% of patients (<i>n</i> = 3).</p><p><strong>Discussion: </strong>THA in paediatric patients with cerebral palsy appears to provide substantial pain relief with acceptable complication rates. Mid- to long-term outcomes are encouraging in this challenging population.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261472391"},"PeriodicalIF":1.3,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148840226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Femoral elevation variability in direct anterior THA: mechanical assessment of a common table-integrated lift system.","authors":"Emma E Helgeson, Sandeep Yanamala, John J Kelly, Alexander Hooke, Michael J Taunton, Christopher V Nagelli, Mario Hevesi","doi":"10.1177/11207000261473867","DOIUrl":"https://doi.org/10.1177/11207000261473867","url":null,"abstract":"<p><strong>Background: </strong>The direct anterior (DA) approach for total hip arthroplasty (THA) is increasingly used by surgeons. Although Hana traction tables are commonly used in DA THA, no study has quantified the mechanical performance and uniformity of the femur lift. Characterising femoral lift variability is clinically important for patient safety during femoral exposure.</p><p><strong>Purpose: </strong>To assess whether femoral lift velocity differs across increasing loads, femur lift laterality, and table age.</p><p><strong>Methods: </strong>7 Mizuho OSI Hana traction tables (14 actuators) were tested using a custom jig and loads between 25 and 100 lb. Lift velocity was measured over 10-second intervals, with 3 averaged trials per weight per actuator. A 2-way repeated-measures ANOVA was used to evaluate applied load and lift laterality, with Tukey post hoc comparisons conducted for significant effects. Pearson's correlation assessed the association between table age and lift velocity.</p><p><strong>Results: </strong>Lift velocity decreased with increasing load (25 lb: 6.42 ± 0.67 mm/second; 100 lb: 4.89 ± 0.50 mm/second; <i>p</i> < 0.01). No significant differences were observed between left (5.53 ± 0.80 mm/second) and right (5.78 ± 0.73 mm/second) actuators (<i>p =</i> 0.30). At equivalent load conditions, lift velocity differed by up to 39.4% between the fastest and slowest tables. Table age was not significantly correlated with lift velocity. All femur lifts successfully raised the maximum load of 100 lbs through full range of motion.</p><p><strong>Conclusions: </strong>Femoral lift performance exhibited predictable, load-dependent behavior without evidence of mechanical failure or age-related decline in velocity.Our findings suggest that traction table mechanical underperformance is unlikely to be a major contributor to difficult femoral exposure during DA THA. Continued displacement under high loads highlights the importance of cautious manipulation to prevent injury.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261473867"},"PeriodicalIF":1.3,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148840217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncemented cervico-metaphyseal short stems in selected proximal femoral deformities: long-term outcomes without adjunctive osteotomy.","authors":"Marcos Raúl Latorre, Fernando Diaz Dilernia, Carlos Lucero, Pablo Ariel Slullitel, Gerardo Zanotti, Fernando Martín Comba, Martín Alejandro Buttaro","doi":"10.1177/11207000261470072","DOIUrl":"https://doi.org/10.1177/11207000261470072","url":null,"abstract":"<p><strong>Background: </strong>Proximal femoral deformities (PFDs) pose a challenge due to complex anatomical alterations that often require demanding procedures with suboptimal outcomes. We hypothesised that uncemented short stems allow reconstruction without adjunctive osteotomies. This study aimed to evaluate long-term implant survivorship, clinical outcomes, and complication rates in patients with PFDs treated using an uncemented short stem.</p><p><strong>Methods: </strong>We retrospectively reviewed 35 hips in 31 patients with PFDs who underwent total hip arthroplasty between 2011 and 2018. Mean age was 44 years, and median follow-up was 131 months. We analysed whether an additional osteotomy was required, and assessed leg-length discrepancy (LLD) and femoral offset before and after surgery. Functional outcomes were measured using visual analogue scale (VAS) and the modified Harris Hip Score (mHHS). Implant survival and all complications were documented.</p><p><strong>Results: </strong>No patient required an additional femoral osteotomy. Both LLD and femoral offset improved significantly (<i>p</i> < 0.001). VAS and mHHS improved at last follow-up. 5 complications (14%) were recorded, with a stem survival rate of 97.1%.</p><p><strong>Conclusions: </strong>In carefully selected patients with proximal femoral deformities, uncemented cervico-metaphyseal short stems demonstrated durable long-term outcomes without the need for adjunctive femoral osteotomy in this series.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261470072"},"PeriodicalIF":1.3,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The morphometric variability of the acetabular labrum: Insights for personalised hip labral reconstruction.","authors":"Bruno Capurro-Soler, Sebastian Gonzalez-VonderMeden, Wilson Pizarro-Geraldo, Safa Gursoy, Baris Kocaoglu, Jorge Chahla, Shane Nho","doi":"10.1177/11207000261469470","DOIUrl":"https://doi.org/10.1177/11207000261469470","url":null,"abstract":"<p><strong>Background/objectives: </strong>The acetabular labrum plays a key role in hip biomechanics, reducing contact pressure and peak stress on articular cartilage. In femoroacetabular impingement (FAI), injuries often require surgical intervention. While anatomical repair restores function, irreparable cases necessitate labral reconstruction with grafts. Despite advancements, detailed morphometric studies remain limited. This study analyses labral morphometry, focusing on regional and sex-based differences to optimise graft selection.</p><p><strong>Materials and methods: </strong>18 adult hip specimens were included after screening for normal hip morphometry on fluoroscopy (Wiberg 25-40°, alpha angle <55°, preserved joint space; Tönnis <2) and verification of intact labral and chondral structures after dissection. Morphometric measurements included labrum height (anterior,superior,posterior), acetabular diameter, anterior superior iliac spine (ASIS) distance, and transverse ligament (TAL) width. Specimens were analysed regionally and stratified by sex. Statistical comparisons identified morphometric differences.</p><p><strong>Results: </strong>Labrum height was greatest in the posterior (7.49 ± 0.95 mm), followed by the superior (6.78 ± 0.91 mm) and anterior (5.60 ± 0.71 mm) regions. Statistically significant (<i>p <</i> 0.05) sex-based differences were observed in all measurements. Males exhibited greater labral height in the superior (7.19 ± 1.02 mm vs. 6.29 ± 0.91 mm), posterior (7.38 ± 0.66 mm vs. 6.93 ± 0.70 mm), and anterior (5.49 ± 1.03 mm vs. 5.03 ± 0.71 mm) regions. Additionally, males had larger transverse ligament width (7.04 ± 0.68 mm vs. 6.66 ± 0.63 mm), ASIS distance (285.73 ± 7.12 mm vs. 275.88 ± 9.24 mm), and acetabular diameter(54.35 ± 2.76 mm vs. 50.29 ± 4.97 mm).</p><p><strong>Conclusions: </strong>The acetabular labrum shows progressive height variation - posterior > superior > anterior - with males exhibiting approximately 1 mm greater dimensions across all regions. These anatomical differences should guide graft selection and surgical planning to optimise patient-specific hip preservation and outcomes.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261469470"},"PeriodicalIF":1.3,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do we need to use the largest possible size of the Proximal Femoral Nail Anti-rotation (PFNA) in well-reduced intertrochanteric fracture? A study of distal PFNA intramedullary canal occupying ratio (ICOR).","authors":"Saran Tantavisut, Chavarin Amarase, Napol Rattanasermsub, Sanzhar Artykbay, Supacheep Viriyakorkitkul","doi":"10.1177/11207000261466581","DOIUrl":"https://doi.org/10.1177/11207000261466581","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the impact of the intramedullary canal occupying ratio (ICOR) on bone union and the stability of fixation in intertrochanteric fracture treatment using proximal femoral nail anti-rotation (PFNA) surgery.</p><p><strong>Methods: </strong>A retrospective analysis included 151 patients aged 60 years and above who underwent PFNA for unilateral intertrochanteric fractures between June 2020 and 2022. Patients were categorised into 3 groups based on ICOR percentiles (0.48-0.93). Bone healing was assessed using the Radiographic Union Score for Hip (RUSH) at 2, 6, and 12 weeks postoperatively. Fixation stability was assessed by comparing immediate and 3-month postoperative radiographs. Multivariate regression was used to assess the relationship between ICOR, RUSH scores, and fixation stability.</p><p><strong>Results: </strong>No significant differences in RUSH scores or stability measurements were found among the 3 ICOR-based groups. Multivariate regression showed no clear correlation between ICOR and RUSH scores, except for a statistically significant but not clinically relevant association with changes in neck-shaft angle. In contrast, RUSH scores were significantly associated with fracture severity according to the OTA/AO Classification.</p><p><strong>Conclusion: </strong>ICOR was not a significant predictor of fracture healing or fixation stability. In uncertain cases regarding nail size, using a smaller nail was not linked to inferior radiographic or fixation-related outcomes.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261466581"},"PeriodicalIF":1.3,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between total hip arthroplasty and low back pain: a long-term perspective.","authors":"Francisco José Gallego-Peñalver, Silvia Beatriz Romero-de-la-Higuera, Eva María Gómez-Trullén","doi":"10.1177/11207000261466125","DOIUrl":"https://doi.org/10.1177/11207000261466125","url":null,"abstract":"","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261466125"},"PeriodicalIF":1.3,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Periprosthetic strain-adaptive bone remodeling of conservative metaphyseal fitting versus conventional anatomic cementless femoral stem.","authors":"Young-Hoo Kim, Jang-Won Park, Young-Soo Jang, Eun-Jung Kim","doi":"10.1177/11207000261471326","DOIUrl":"https://doi.org/10.1177/11207000261471326","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to compare: (1) periprosthetic bone mass changes; (2) clinical results; (3) revision rates; and (4) survivorship of total hip arthroplasty (THA) in patients younger than 50 years.</p><p><strong>Methods: </strong>This was a retrospective study in which 168 patients with conservative metaphyseal-fitting anatomic cementless (CMA) stems (201 hips) were identified, and then a separate group of 181 patients with conventional anatomic cementless (CA) stems (209 hips) were identified. Periprosthetic bone mass change was measured using DEXA. The mean follow-up was 20-22 years (range 20-24 years) in both groups.</p><p><strong>Results: </strong>In the CA group, BMD decreased markedly in both Gruen zones 1 and 7 of the femur. Harris Hip Score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and University of California, Los Angeles (UCLA) activity score improved significantly at the final follow-up in both groups. The survival rate was 97.5% (95% CI, 91-100%) in the CMA stem group and 97.1% (95% CI, 91-100%) in the CA group at 20 years of follow-up.</p><p><strong>Conclusions: </strong>At a mean follow-up of 20-22 years, both CMA and CA stems provided excellent clinical results. However, CA stems had significantly higher stress-shielding-related bone loss.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261471326"},"PeriodicalIF":1.3,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acetabular fracture open reduction and internal fixation in patients under 60: time to total hip arthroplasty and implant survivorship: a systematic review.","authors":"Manikandar Srinivas Cheruvu, Sanjay Narayana Murthy, David Ford, Rohit Singh, Tosan Okoro, Niall Steele","doi":"10.1177/11207000261472062","DOIUrl":"https://doi.org/10.1177/11207000261472062","url":null,"abstract":"<p><strong>Aims: </strong>Acetabular fractures in young patients are usually treated with open reduction and internal fixation (ORIF) to preserve the native joint. Despite this, many develop post-traumatic arthritis, needing conversion to total hip arthroplasty (THA). The timing of THA and the long-term survival of these implants remain uncertain. We systematically reviewed the literature to determine the interval from ORIF to THA and to evaluate implant survivorship.</p><p><strong>Methods: </strong>We searched PubMed, Embase, Scopus, and Web of Science for studies reporting outcomes of patients <60 years who underwent ORIF for acetabular fracture and later THA. Data extracted on patient demographics, fracture type, time to THA, survivorship, and complications. Pooled estimates were calculated using random-effects models, and survivorship summarised using Kaplan-Meier methods.</p><p><strong>Results: </strong>12 studies including, ~450 patients met inclusion criteria. The pooled mean time from ORIF to THA was approximately 5.2 years (95% CI, 3.7-6.6). Between a ¼ and ⅓ of patients required THA at longer follow-up. Implant survivorship was 95% at 5 years and 85-90% at 10 years, declining to 70-80% at 15 years. Outcomes were worse in complex fracture patterns. Cementless fixation and modern porous ingrowth cups achieved survivorship similar to primary THA. Complications were more common than in primary THA, including dislocation (~10%), infection (~7%), and reoperation (~15%).</p><p><strong>Conclusions: </strong>In patients under 60, ORIF usually delays the need for THA by several years, but conversion is required in a substantial population. Conversion THA restores function and achieves acceptable survivorship, although it remains technically demanding, with higher complication rates than primary THA.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261472062"},"PeriodicalIF":1.3,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for wound complications in direct anterior total hip arthroplasty: a 10-year analysis.","authors":"Benjamin C Schaffler, Muhammad Haider, Amit Manjunath, Michelle Richardson, Roy Davidovitch, Matthew Hepinstall, Joshua Rozell","doi":"10.1177/11207000261467289","DOIUrl":"https://doi.org/10.1177/11207000261467289","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to identify risk factors associated with wound complications following DAA THA and to evaluate the incidence of these wound issues when negative pressure wound therapy (NPWT) was used as the primary surgical dressing.</p><p><strong>Methods: </strong>We reviewed 725 patients from five different surgeons at a single institution who underwent THA through a DAA from 2011 to 2023. Medical records were reviewed for demographics, comorbidities, surgical details, and a broad set of criteria denoting wound complications or dehiscence. Univariate and multivariate analyses were performed to identify potential risk factors. Secondary outcomes included periprosthetic joint infection (PJI), 90-day emergency room visits, readmission, and all-cause revision rates.</p><p><strong>Results: </strong>83 (11.4%) patients developed a wound complication based on criteria. Univariate analysis showed that increased body mass index (BMI) (mean 30.4 vs. 27.8, <i>p <</i> 0.001), surgical time (138.0 vs. 108.5 minutes, <i>p <</i> 0.001), hospital length of stay (50.4 vs. 40.6 hours, <i>p =</i> 0.013), DAA surgeon experience of less than 1 year (<i>p =</i> 0.012) and use of NPWT (25.3 vs. 11.6%, <i>p <</i> 0.001) were associated with wound complications. Multivariate analysis further demonstrated BMI (OR 1.06 [1.01-1.11] <i>p =</i> 0.016), longer surgical time (OR 1.01 [1.00-1.01] <i>p =</i> 0.004), and NPWT use (OR 2.1 [1.2-3.9], <i>p =</i> 0.016) as associated with higher rates of wound complications. Patients with wound complications had higher rates of 90-day emergency room visits (10.8 vs. 4.4%, <i>p =</i> 0.018), readmissions (15.7 vs. 3.9%, <i>p <</i> 0.001), all-cause revision (19.3 vs. 2.8%, <i>p <</i> 0.001) and PJIs (13.3 vs. 0.5%, <i>p =</i> 0.005).</p><p><strong>Conclusions: </strong>Obesity, length-of-stay, longer surgical time, and surgeon DAA experience <1 year were identified as risk factors for wound complications following DAA THA in our series. Prophylactic use of NPWT was not associated with a lower risk of wound complications in our cohort. Patients with wound complications had higher rates of PJI, readmission, and reoperation.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261467289"},"PeriodicalIF":1.3,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}