Ipsilateral reference may reduce THA fluoroscopy - Scorecard - MDSpire
Coming Soon: Introducing MDSpire News. Learn more
Conexiant’s news site is now MDSpire News. Learn more

Ipsilateral reference may reduce THA fluoroscopy

Operative-time–adjusted findings favored the ipsilateral technique, while absolute fluoroscopy time and radiation exposure remained similar between approaches.

  • By

  • Andrea Surnit

  • September 15, 2026

  • 4 min

Share

Clinical Scorecard: Ipsilateral reference may reduce THA fluoroscopy

At a Glance

CategoryDetail
ConditionTotal Hip Arthroplasty (THA)
Key MechanismsComparison of ipsilateral vs contralateral hip as radiographic reference
Target PopulationAdults undergoing primary THA for osteoarthritis
Care SettingOrthopedic surgery

Key Highlights

  • Ipsilateral technique associated with lower normalized fluoroscopy use
  • Mean operative time longer with ipsilateral technique
  • BMI moderately correlated with radiation dose and operative duration
  • No significant difference in absolute fluoroscopy times between techniques
  • Study was retrospective and nonrandomized

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

        Risks

        • Increased radiation exposure with higher BMI

        Patient & Prescribing Data

        159 adult patients undergoing primary DAA-THA

        Ipsilateral reference may reduce fluoroscopy relative to operative duration

        Clinical Best Practices

        • Ongoing evaluation of fluoroscopic workflows to minimize radiation exposure
        • Consideration of BMI effects on radiation dose during procedures

        Related Resources & Content

        Original Source(s)

        Ipsilateral reference may reduce THA fluoroscopy

        • by Andrea Surnit

        • September 15, 2026

        Related Content

        Robotic TKA Showed No Revision Benefit

        High-revision-rate surgeons saw a late revision signal after adopting robotic-assisted total knee arthroplasty, despite no overall reduction in revision rates or failure modes.

        Cross-Linked HA Did Not Outperform Saline

        Two single-injection cross-linked hyaluronic acid formulations showed no statistically significant advantage over saline for pain or functional outcomes through 24 weeks.

        Impact of rheumatoid arthritis on complications and hospital outcomes following reverse shoulder arthroplasty: evidence from 389,135 hospitalizations in the national inpatient sample