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Use of Surgical Approach Is Not Associated With Instability After Primary Total Hip Arthroplasty: A Meta-analysis Comparing Direct Anterior and Posterolateral Approaches.
J Am Acad Orthop Surg
November 2021
From the Department of Orthopaedic Surgery, Hospital Universitario Mayor Méderi and Instituto Roosevelt (E. Huerfano), the Department of Orthopaedic Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Universidad del Rosario (Bautista), the Department of Nephrology, Hospital Universitario Mayor Méderi (M. Huerfano), and the Department of Orthopaedic Surgery, Fundación Cardioinfantil, Clinica del Country and Instituto Roosevelt (Nossa), Bogotá, Colombia.
Introduction: Posterolateral approach (PA) has been historically associated with an increased risk of dislocation after primary total hip arthroplasty (THA), especially when compared with the direct anterior approach (DAA). However, current evidence is inconsistent regarding the risk of dislocation with either approach. The purpose of this study is to determine whether surgical approach influences joint stability.
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