Bone and Joint Institute
Document Type
Article
Publication Date
4-1-2015
Journal
Canadian Journal of Surgery
Volume
58
Issue
2
First Page
128
Last Page
139
URL with Digital Object Identifier
10.1503/cjs.007214
Abstract
©2015 8872147 Canada Inc. Total hip arthroplasty (THA) has revolutionized the treatment of hip arthritis. A number of surgical approaches to the hip joint exist, each with unique advantages and disadvantages. The most commonly used approaches include the direct anterior, direct lateral and posterior approaches. A number of technical intricacies allow safe and efficient femoral and acetabular reconstruction when using each approach. Hip dislocation, abductor insufficiency, fracture and nerve injury are complications of THA, although their relative risk varies by approach. Numerous clinical trials have sought to elicit differences in patient-reported outcomes, complication rates and return to function among the surgical approaches. This review outlines some of the technical pearls of performing a THA through either a direct anterior, direct lateral or posterior approach. A literature review outlines the impact of surgical approach on clinical outcomes and clinically relevant complication rates.
Notes
Single copies of articles published prior to January 1, 2021 may only be copied or shared for non-commercial educational purposes. Appropriate credits must be given. The distribution of derivative works is not permitted. Please email permissions@cma.ca to obtain consent for any other uses.