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Ipsilateral reference may reduce THA fluoroscopy

  • By

  • Andrea Surnit

  • September 15, 2026

  • 4 min

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  • 1

    Using the ipsilateral hip as a radiographic reference may reduce fluoroscopy use relative to operative duration during DAA-THA.

  • 2

    The study analyzed 159 primary DAA-THA procedures performed by a single orthopedic surgeon between January 2016 and May 2023.

  • 3

    Mean fluoroscopy times were similar: 60.4 seconds for the contralateral technique and 55.9 seconds for the ipsilateral technique.

  • 4

    Normalized fluoroscopy time was significantly lower with the ipsilateral technique compared to the contralateral technique.

  • 5

    The study's limitations include its retrospective nature, nonrandomized design, and potential learning-curve bias.

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