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

In this large registry-based series, the DAA was not associated with inferior long-term implant survivorship or a higher risk of aseptic femoral loosening compared with DL-PL approaches after adjustment for patient and implant factors. These findings indicate that, at a population level and with appropriate case and implant selection, DAA yields mechanical outcomes comparable to traditional approaches.