Approaches for Total Hip Arthroplasty: A Systematic Review
Niketa Patel1, Paresh Golwala2
1Department of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University, Vadodara, IND.
Cureus
|March 15, 2023
Summary
The posterior or posterolateral approach is the most beneficial surgical method for total hip arthroplasty (THA). This review compared various THA approaches to determine optimal clinical and functional outcomes for patients.
Area of Science:
- Orthopedic Surgery
- Arthroplasty Research
- Surgical Technique Comparison
Background:
- Total hip arthroplasty (THA) aims to relieve pain and improve quality of life for hip pathology patients.
- Surgical approach selection for THA is multifactorial, influenced by surgeon preference, pathology, bone quality, and patient age.
Purpose of the Study:
- To compare the clinical and functional outcomes of different surgical approaches for total hip arthroplasty (THA).
- To identify potential advantages and disadvantages associated with various THA surgical techniques.
Main Methods:
- A systematic review of English-language THA surgical approach studies published from 2015 onwards.
- Searched databases including COCHRANE, MEDLINE, PEDRO, and CINHAL, and search engines like Google Scholar, PubMed, and Science Direct.
- Included 26 studies after critical analysis of 50 initially identified articles.
Main Results:
- The posterior approach and posterolateral approach were identified as optimally beneficial.
- Analysis considered various factors influencing surgical outcomes in THA.
Conclusions:
- The posterior or posterolateral approach offers optimal benefits for total hip arthroplasty.
- Evidence supports the posterior/posterolateral approach for favorable clinical and functional results in THA.
