Which Approach for Total Hip Arthroplasty: Anterolateral or Posterior?

Jeya Palan MRCS (Eng), David J. Beard DPhil, David W. Murray FRCS (Orth), J. G. Andrew FRCS (Orth), John Nolan FRCS (Orth)
Original Article
Volume 467, Issue 2 / February , 2008

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Abstract

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.

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