title: Early outcome comparison between the direct anterior approach and the mini-incision posterior approach for primary total hip arthroplasty: 150 consecutive cases.
abstract: This study evaluated early postoperative results of 150 consecutive primary total hip arthroplasties performed by a single surgeon; 50 from mini-incision posterior approach, 50 during the learning curve for the direct anterior approach, and 50 subsequent cases when the approach was routine. The anterior approach groups had significantly reduced hospital length of stays (2.9 and 2.7 days versus 3.9 days for the posterior group; P < 0.0001) and discharge to home versus rehab was more likely (80% and 84% in anterior groups, 56% in posterior group; P = 0.0028). In the anterior groups, there was significantly less use of assistive devices and narcotics at 6 weeks, and pain was significantly lower. Primary total hip arthroplasty using the anterior approach allows for superior recovery in a matched cohort of patients.
authors.affiliation: Department of Orthopaedic Surgery, Medstar Georgetown University Hospital, Washington, DC.
authors.forename: Mark W
authors.initials: MW
authors.lastname: Zawadsky
authors.affiliation: Department of Orthopaedic Surgery, Medstar Georgetown University Hospital, Washington, DC.
authors.forename: Megan C
authors.initials: MC
authors.lastname: Paulus
authors.affiliation: Department of Orthopaedic Surgery, Medstar Georgetown University Hospital, Washington, DC; Charleston Hip and Knee Replacement Center, Charleston, SC.
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Murray
authors.affiliation: Department of Orthopaedic Surgery, Medstar Georgetown University Hospital, Washington, DC.
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Johansen
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D006621:Hip Joint / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D059032:Learning Curve; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
keywords: Smith-Peterson; direct anterior total hip arthroplasty; functional recovery; posterior total hip arthroplasty; total hip arthroplasty