Direct Anterior Approach in Total Hip Arthroplasty Leads to Superior Outcomes at 3-Month Follow-up When Compared With the Posterior Approach: A Matched Study Using Propensity Score Analysis
Authors
Maldonado DR, Laseter JR, Kyin C, Lall AC, Domb BG
DOI: 10.5435/JAAOSGlobal-D-19-00118
Background
The direct anterior approach (DAA) in total hip arthroplasty (THA) has gained popularity, but its benefits compared to the posterior approach (PA) are still debated. This study compares early recovery outcomes between the two approaches.
Methods
Patients who underwent THA via DAA or PA were matched using propensity score analysis, and their outcomes were assessed at 3 months post-surgery, including various patient-reported scores and satisfaction.
Key Findings
The DAA group reported higher scores for hip function and quality of life (Harris Hip Score, Veterans RAND-12) compared to the PA group.
Conclusions
The DAA approach results in better early functional outcomes and higher patient satisfaction than the PA approach, at least in the initial 3 months post-surgery.
What Does This Mean for Patients
If you're undergoing hip replacement surgery, the DAA approach may provide faster recovery and better early outcomes compared to the traditional posterior approach.