Direct superior approach versus posterior approach in patients with primary total hip arthroplasty: a systematic review and meta-analysis. | Synapse
March 8, 2026
Direct superior approach versus posterior approach in patients with primary total hip arthroplasty: a systematic review and meta-analysis.
Key Points
To compare the effectiveness and safety of direct superior approach versus posterior approach in total hip arthroplasty.
Conducted a systematic review and meta-analysis of existing studies on surgical approaches for hip arthroplasty.
Included primary total hip arthroplasty cases with various approaches.
Analyzed outcomes related to blood loss, hospital stay, and recovery times.
Direct superior approach shows less blood loss compared to posterior approach.
Patients experience shorter hospital stays with direct superior approach.
Early recovery is faster with direct superior approach without affecting mid-term outcomes.
Abstract
DSA appears to be a safe, effective alternative to PA, providing less blood loss, shorter hospitalisation, and faster early recovery without compromising mid-term outcomes.