The verdict is in…surgical approach to total hip replacement (THR) has no impact on outcomes six months after surgery. There is no difference if you go in from the front of the body or the side/back (anterior versus posterior).
According to the March 3, 2016 news release, the new research, conducted at Saint Francis Hospital & Medical Center in Hartford, Connecticut, involved 274 patients who underwent THR between June 2012 and August 2014. Patients had the procedure with a surgeon either exclusively performing a direct anterior approach, or a surgeon exclusively performing a posterior approach. The two groups were compared on pre- and post-surgical pain, other symptoms, function in daily living, function in sports and recreation, and hip-related quality of life.
“Both direct anterior and posterior surgical approaches for THR yield excellent, equivalent results as reported by patients,” said lead study author Mike Cremins, Ph.D., PA-C. “The surgical approach alone is not the singular variable that yields a difference in six-month postoperative outcome.”