Direct Anterior Approach Versus Posterior Approach in Primary Total Hip Replacement: Comparison of Minimum 2-Year Outcomes

Direct Anterior Approach Versus Posterior Approach in Primary Total Hip Replacement: Comparison of Minimum 2-Year Outcomes

Authors

Maldonado DR, Kyin C, Walker-Santiago R, Rosinsky PJ, Shapira J, Lall AC, Domb BG
DOI: 10.1177/1120700019881937

Background

The direct anterior approach (DAA) and posterior approach (PA) are two common surgical techniques for total hip replacement. While the DAA has shown better early outcomes, there is limited information about the long-term benefits.

Methods

This study compared the outcomes of 205 patients who underwent DAA to 205 patients who underwent PA, with a minimum of 2 years of follow-up. Patient-reported outcome measures (PROs) such as pain, physical and mental health scores, and patient satisfaction were analyzed.

Key Findings

The DAA group showed higher quality of life scores in both mental and physical health compared to the PA group, but both groups had similar results for Harris Hip Score (HHS) and Forgotten Joint Score-12 (FJS-12).

Conclusions

Both DAA and PA techniques provide favorable long-term results, but the DAA approach appears to offer superior quality of life outcomes.

What Does This Mean for Patients

If you are considering hip replacement surgery, the DAA approach may provide better mental and physical health outcomes, though both approaches are effective.