OTA 2022: Direct Anterior Approach versus Direct Lateral Approach in Total Hip Arthroplasty
Direct Anterior Approach Versus Direct Lateral Approach in Total Hip Arthroplasty for Femoral Neck Fractures: Prospective Randomized Controlled Trial
Fifty patients undergoing total hip arthroplasty for femoral neck fractures were randomized to either the direct anterior or lateral approach. Outcomes of interest included perioperative and postoperative short-term clinical outcomes such as incision length, blood loss, and neuropraxia. Radiological (e.g., cup inclination and anteversion) and functional outcomes (Harris Hip Score and Timed Up and Go) were also assessed at 6 months. Both the direct anterior and lateral approaches were similar with regard to functional outcomes at 6 months.
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