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Abstract
Total hip arthroplasty (THA) is a common surgical procedure for hip joint pathologies, with the direct anterior approach (DAA) gaining popularity due to potential benefits in postoperative recovery. This review aims to provide a comprehensive analysis of rehabilitation strategies following DAA THA, focusing on surgical techniques, postoperative care, and outcomes. The evolution of the DAA to THA is discussed, highlighting historical advancements and comparisons with other surgical approaches. Surgical techniques and considerations specific to the DAA are detailed, including outcomes and complications compared to alternative approaches. The role of the surgical technique in influencing postoperative rehabilitation is explored, emphasizing the importance of optimizing surgical procedures for enhanced recovery. Postoperative care and rehabilitation models following DAA THA are examined, with a focus on the impacts of different rehabilitation protocols on patient outcomes. The review underscores the significance of tailored rehabilitation programs in promoting optimal recovery and patient satisfaction. Current evidence from recent studies, meta-analyses, and clinical trials is critically analyzed to provide insights into the effectiveness of postoperative rehabilitation strategies. The review identifies gaps in the existing literature and proposes recommendations for future research to improve rehabilitation protocols and enhance outcomes. In conclusion, this review highlights the importance of postoperative rehabilitation in the context of DAA THA. By synthesizing historical perspectives, current evidence, and future directions, the review offers a comprehensive understanding of rehabilitation strategies following DAA THA. The findings underscore the need for personalized rehabilitation programs and ongoing research to optimize postoperative recovery and improve outcomes in the field of THA.
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1 IRCCS Rizzoli Orthopedic Institute, 1st Orthopedic and Traumatology Clinic, Bologna, Italy (GRID:grid.419038.7) (ISNI:0000 0001 2154 6641); University of Bologna, Department of Biomedical and Neuromotor Science—DIBINEM, Bologna, Italy (GRID:grid.6292.f) (ISNI:0000 0004 1757 1758); Thomas Jefferson University, Sidney Kimmel Medical College, Philadelphia, PA, United States (GRID:grid.265008.9) (ISNI:0000 0001 2166 5843)
2 Thomas Jefferson University, Department of Physical Therapy, Jefferson College of Rehabilitation Sciences, Philadelphia, United States (GRID:grid.265008.9) (ISNI:0000 0001 2166 5843)
3 University of Bologna, Department of Biomedical and Neuromotor Science—DIBINEM, Bologna, Italy (GRID:grid.6292.f) (ISNI:0000 0004 1757 1758); IRCCS Istituto Ortopedico Rizzoli, Physical Medicine and Rehabilitation Unit, Bologna, Italy (GRID:grid.419038.7) (ISNI:0000 0001 2154 6641)
4 Thomas Jefferson University, Department of Physical Therapy, Jefferson College of Rehabilitation Sciences, Philadelphia, United States (GRID:grid.265008.9) (ISNI:0000 0001 2166 5843); Thomas Jefferson University, Jefferson College of Health Professions, Philadelphia, PA, United States (GRID:grid.265008.9) (ISNI:0000 0001 2166 5843)