Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Feb 2;6(2):e21.00050.
doi: 10.5435/JAAOSGlobal-D-21-00050.

Outcomes of the Supine Anterior-based Muscle-sparing Approach for Primary and Revision Hip Arthroplasty

Tommy Pan  1 , Anuj Mehta, Mark W Mason
Affiliations

Outcomes of the Supine Anterior-based Muscle-sparing Approach for Primary and Revision Hip Arthroplasty

Tommy Pan et al. J Am Acad Orthop Surg Glob Res Rev. .

Abstract

Introduction: Risks and outcomes of total hip arthroplasty (THA) are believed to vary relative to the surgical approach. This study compares the supine anterior-based muscle-sparing (ABMS) approach with its modern-day counterparts.

Methods: A retrospective review was done on 550 patients undergoing primary or revision THA from 2016 to 2018. Surgical modalities included direct anterior (DAA), ABMS, posterolateral, and Müller modified Hardinge approaches. Surgical data were collected, and clinical outcomes were measured by the Hip Disability and Osteoarthritis Outcome Score, Modified Harris Hip Score, UCLA, and VR-12 Mental/Physical scores preoperatively and compared clinical outcomes among approaches.

Results: A total of 550 patients were included (447 primaries, 103 revisions). The average age was 64 years (231 men, 319 women). Approaches included 79 DAA (14%), 212 ABMS (39%), 180 modified Müller-Hardinge (33%), and 79 posterolateral (14%). The incidence of lateral femoral cutaneous nerve injury was more common with the DAA (P = 0.008), but no other clinically significant differences were noted among the groups.

Conclusion: The results of this study showed no clinically notable differences between the supine ABMS and other approaches. The supine ABMS approach is an acceptable approach in modern day THA when used by an experienced surgeon well-versed in the approach.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Higgins BT, Barlow DR, Heagerty NE, et al. : Anterior vs. posterior approach for total hip arthroplasty, a systematic review and meta-analysis. J Arthroplasty 2015;30:419-434. - PubMed
    1. Lavernia CJ, Alcerro JC: Quality of life and cost-effectiveness 1 year after total hip arthroplasty. J Arthroplasty 2011;26:705-709. - PubMed
    1. Ethgen O, Bruyère O, Richy F, et al. : Health-related quality of life in total hip and total knee arthroplasty: A qualitative and systematic review of the literature. J Bone Joint Surg Am 2004;86:963-974. - PubMed
    1. Delanois RE, Sultan AA, Albayar AA, et al. : The Röttinger approach for total hip arthroplasty: Technique, comparison to the direct lateral approach and review of literature. Ann Transl Med 2017;5(suppl 3):S31. - PMC - PubMed
    1. George NE, Gwam CU, Etcheson JI, et al. : Short-term outcomes of the supine muscle-sparing anterolateral versus direct lateral approach to primary total hip arthroplasty. Hip Int 2019;29:504-510. - PubMed