Ipsilateral reference may reduce THA fluoroscopy - Scorecard - MDSpire
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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

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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

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