A Prospective Randomized Clinical Trial in Total Hip Arthroplasty—Comparing Early Results Between the Direct Anterior Approach and the Posterior Approach

2017 ◽  
Vol 32 (3) ◽  
pp. 883-890 ◽  
Author(s):  
Tze E. Cheng ◽  
Jason A. Wallis ◽  
Nicholas F. Taylor ◽  
Chris T. Holden ◽  
Paul Marks ◽  
...  
2020 ◽  
Vol 63 (5) ◽  
pp. E412-E417 ◽  
Author(s):  
Kevin Moerenhout ◽  
Pascale Derome ◽  
G. Yves Laflamme ◽  
Stéphane Leduc ◽  
Henry S. Gaspard ◽  
...  

2015 ◽  
Vol 9 (1) ◽  
pp. 157-162 ◽  
Author(s):  
Sachiyuki Tsukada ◽  
Motohiro Wakui

Objective: The aim of the study was to compare the dislocation rate between total hip arthroplasty (THA) via direct anterior approach (DAA) and via posterior approach (PA). Methods: We compared a consecutive series of 139 THAs via DAA with 177 THAs via PA. All study patients received ceramic-on-ceramic bearing surfaces and similar uncemented prostheses. Dislocation-free survival after THA was estimated using the Kaplan–Meier survival method and compared between groups using the log-rank test. Results: In the DAA group, none of 139 hips experienced dislocations in five-year-average follow-up. In the PA group, seven hips experienced dislocations among 177 hips (4 %). The dislocation was significantly less in the DAA group compared to the PA group (p = 0.033). Conclusion: The dislocation rate of THA via DAA was significantly less than that of THA via PA.


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