Total Hip Arthroplasty Outcomes by Surgical Approach: Current Concepts Review

Total Hip Arthroplasty (THA) is a highly successful orthopaedic procedure with multiple surgical approaches, including the posterior, direct anterior, direct lateral, and anterolateral approaches. The debate remains as to which approach yields the best outcomes. This article examines recent literature on patient outcomes of total hip arthroplasty (THA) based on the approach. The improved outcomes associated with the direct anterior approach appeal to both patients and surgeons, as this approach may enhance patient satisfaction; however, this must be carefully weighed against the surgeon’s experience in using this approach. More research is needed, including greater powered studies and those investigating differences in long-term outcomes between approaches. Ultimately, the decision of which approach to use is multifactorial and will vary on a patient-by-patient basis and with the surgeon’s experience.