Direct Anterior Versus Mini-Posterior Total Hip Arthroplasty outcomes after 7.5 years .
A Randomized Clinical Trial of Direct Anterior Versus Mini-Posterior Total Hip Arthroplasty: Small, Early Functional Differences Did Not Lead to Meaningful Clinical Differences at 7.5 Years.
J Arthroplasty. 2024 01-Sep;():. 10.1016/j.arth.2024.05.016One hundred and one patients undergoing primary total hip arthroplasty were randomized to receive either the direct anterior approach (DAA, n=52) or the mini-posterior approach (MPA, n=49). The primary outcome assessed was the Harris Hip Score (HHS). Secondary outcomes included the 12-Item Short Form Health Survey (SF-12) physical and mental scores, Hip Disability and Osteoarthritis Outcome Score (HOOS) subscores, complication rates, reoperations, and revisions. Outcomes were evaluated over a mean follow-up period of 7.5 years. Overall, results demonstrated no clinically meaningful differences in primary or secondary outcomes, including complication rates and revisions, between the two approaches.
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