Is direct anterior approach associated with a compromise of femoral stem survival after total hip arthroplasty? A regional registry-based analysis

Key Points

• The study aims to assess whether the direct anterior approach (DAA) impacts the long-term survival of femoral stems in total hip arthroplasty.
• Analyzed a large regional registry of total hip arthroplasty cases.
• Compared outcomes of DAA with direct lateral and posterior lateral approaches.
• Adjusted results for patient characteristics and implant factors.
• No significant difference in long-term implant survivorship between DAA and traditional approaches.
• DAA did not exhibit a higher risk of aseptic femoral loosening post-surgery.