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This review synthesizes research on biomechanics after total hip arthroplasty to uncover functional deficits.

July 3, 2026EFORT Open ReviewsOpen Access

In vivo biomechanics after total hip arthroplasty: a state-of-the-art systematic review

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Systematic review synthesizes biomechanics post total hip arthroplasty, highlighting implications for surgical approach.

This review synthesizes research on biomechanics after total hip arthroplasty to uncover functional deficits.
Conducted a PRISMA-guided systematic review across seven databases.
Included studies analyzed human subjects with objective postoperative biomechanical assessments.
Data extracted from 50 studies focused on parameters like kinematics and kinetics.
Persistent reductions in hip joint power, gait speed, and stride length noted over one year post-surgery.
Direct anterior approach led to faster early gait normalization, but minimal long-term effects found.
Restoration of femoral offset and anteversion correlated strongly with improved biomechanics.

Giannatos et al. (2026) studied this question.

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