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. 2022 Apr;39(4):186-189.
doi: 10.12788/fp.0234. Epub 2022 Apr 12.

Elective Total Hip Arthroplasty: Which Surgical Approach Is Optimal?

William T Sheahan  1 , Thomas E Sheahan  1
Affiliations

Elective Total Hip Arthroplasty: Which Surgical Approach Is Optimal?

William T Sheahan et al. Fed Pract. 2022 Apr.

Abstract

Background: For decades, the total hip arthroplasty procedure of choice has been a standard posterior approach. In the past several years, modified muscle-sparing surgical approaches have been introduced, including the mini posterior and direct anterior approaches. However, the optimal surgical approach is still being debated.

Case presentation: This case report describes a patient with right hip end-stage degenerative joint disease, a comparison of the mini posterior and direct anterior approaches, and the patient's choice of procedure.

Conclusions: The final decision for total hip arthroplasty approaches should be dependent on the patient-surgeon relationship and informed decision making.

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Conflict of interest statement

Author disclosures The authors reports no actual or potential conflicts of interest or outside sources of funding with regard to this article.

Figures

FIGURE
FIGURE. Anterior-Posterior Pelvis X-ray
Right hip degenerative joint disease and previous left total hip arthroplasty is demonstrated.
See this image and copyright information in PMC

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