Which Approach for Total Hip Arthroplasty: Anterolateral or Posterior?

Overview

Journal Clin Orthop Relat Res

Publisher Wolters Kluwer

Specialty Orthopedics

Date 2008 Oct 23

PMID 18941858

Citations 28

Authors

Jeya Palan

David J Beard

David W Murray

J G Andrew

John Nolan

Affiliations

Soon will be listed here.

Abstract

Unlabelled: The best approach to use when performing THA is controversial. We did a prospective, nonrandomized multicenter study of 1089 THAs to evaluate patient-centered hip scores and dislocation and revision rates when comparing anterolateral and posterior hip approaches at 5 years' followup. Patients were divided into two groups depending on which surgical approach was used: anterolateral or posterior. The primary outcome measure was change in Oxford hip score. At 5 years, there were no differences in change in Oxford hip score and in dislocation or revision rates between the groups.

Level Of Evidence: Level II, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Citing Articles

Effect of surgical approach to hip arthroplasty on postoperative pain and mobilization and on efficacy of intrathecal oxytocin for pain.

Shields J, Ijebuonwu D, Korn E, Mueller A, Houle T, Langfitt M medRxiv. 2025; .

PMID: 40061318 PMC: 11888492. DOI: 10.1101/2025.02.22.25322560.

A Modified Transgluteal Approach Sparing Abductor Function in Total Hip Arthroplasty Results in a Low Postoperative Dislocation Rate: A Retrospective Study of Short- and Long-Term Outcomes.

Ward M, Date A, Yeoh T, Li P Cureus. 2024; 16(11):e73804.

PMID: 39552735 PMC: 11568664. DOI: 10.7759/cureus.73804.

Multivariate Analysis of Risk Factors for In-Hospital Dislocation Following Primary Total Hip Arthroplasty.

Jones H, Hinkle A, Liu Y, Sambandam S J Clin Med. 2024; 13(12).

PMID: 38929981 PMC: 11204957. DOI: 10.3390/jcm13123456.

No clinically relevant difference in patient-reported outcomes between the direct superior approach and the posterolateral or anterior approach for primary total hip arthroplasty: analysis of 37,976 primary hip arthroplasties in the Dutch....

van Dooren B, Peters R, Van Steenbergen L, Post R, Ettema H, Bolder S Acta Orthop. 2023; 94:543-549.

PMID: 37905684 PMC: 10617518. DOI: 10.2340/17453674.2023.23729.

Limping and patient satisfaction after primary total hip arthroplasty: a registry-based cohort study.

Bonnefoy-Mazure A, Poncet A, Gonzalez A, Barea C, Hannouche D, Lubbeke A Acta Orthop. 2022; 93:602-608.

PMID: 35770370 PMC: 9244825. DOI: 10.2340/17453674.2022.3489.

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