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Record W3216691607 · doi:10.1002/9781119413936.ch20

The Direct Anterior Approach

2021· other· es· W3216691607 on OpenAlexaff
Thomas J. Wood, Brent A. Lanting

Bibliographic record

VenueEvidence-Based Orthopedics · 2021
Typeother
Languagees
FieldMedicine
TopicOrthopaedic implants and arthroplasty
Canadian institutionsWestern UniversityLondon Health Sciences CentreMcMaster University
Fundersnot available
KeywordsMedicineOrthopedic surgeryPerioperativeTotal hip arthroplastyClinical PracticeArthroplastyImplantHip arthroplastySurgeryPhysical therapy

Abstract

fetched live from OpenAlex

This chapter presents a case scenario of a 65-year-old female presents to orthopedic specialists' clinic after reading about the direct anterior approach (DAA) to total hip arthroplasty (THA). The results of THA performed through a DAA are largely comparable to posterior and lateral approaches and are not considered superior. There are limited long-term data evaluating outcomes following a THA through the DAA. The importance of component alignment relates to its influence on longevity of the implant as well as functionality. It is important to understand what unique complications a surgeon faces when using the DAA and compare these to other hip approaches. A perioperative fracture is potentially a devastating complication often requiring further fixation and or surgical procedures. Many surgeons have switched approaches due to the fear of dislocation and hip instability. The chapter also provides recommendations for implementing evidence-based practice in the clinical setting.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.679
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.003
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.001
Science and technology studies0.0010.001
Scholarly communication0.0010.000
Open science0.0010.000
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0090.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.039
GPT teacher head0.290
Teacher spread0.251 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2021
Admission routes1
Has abstractyes

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Same venueEvidence-Based OrthopedicsSame topicOrthopaedic implants and arthroplastyFrench-language works237,207