Bone and Joint Institute

Title

Surgical approach in primary total hip arthroplasty: Anatomy, technique and clinical outcomes

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.

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