Published in:
01-02-2009 | Original Article
Which Approach for Total Hip Arthroplasty: Anterolateral or Posterior?
Authors:
Jeya Palan, MRCS (Eng), David J. Beard, DPhil, David W. Murray, FRCS (Orth), J. G. Andrew, FRCS (Orth), John Nolan, FRCS (Orth)
Published in:
Clinical Orthopaedics and Related Research®
|
Issue 2/2009
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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.