Systematic Review of Wound Complications After Direct Anterior Approach Total Hip Arthroplasty: Incidence, Risk Factors, and Management Strategies.
J Am Acad Orthop SurgJun 1, 2026 (epub)
Tejas Subramanian, Alexander Oles, Sereen Halayqeh et al.
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In 30 seconds
This systematic review and meta-analysis evaluated wound complications following direct anterior approach (DAA) total hip arthroplasty (THA) in a population of 35,300 patients. The study found that the overall incidence of complications was low, with transverse incisions associated with a significantly reduced risk of complications (relative risk 0.45).
Key findings
- The incidence of superficial dehiscence/drainage was 1.41%, and superficial surgical site infection was 1.34%.
- Obesity and female sex were identified as significant risk factors for wound complications.
- Transverse (bikini) incisions had a relative risk of 0.45 for wound complications compared to longitudinal incisions.
- Most complications were managed conservatively, avoiding the need for revision surgery.
Why it matters
Understanding the incidence and risk factors for wound complications after DAA THA can guide surgical decision-making and postoperative care, potentially improving patient outcomes and reducing morbidity.