Which approach for total hip arthroplasty: anterolateral or posterior?

Clin Orthop Relat Res. 2009 Feb;467(2):473-7. doi: 10.1007/s11999-008-0560-5. Epub 2008 Oct 22.


The best approach to use when performing THA is controversial. We did a prospective, nonrandomized multicenter study of 1089 THAs to evaluate patient-centered hip scores and dislocation and revision rates when comparing anterolateral and posterior hip approaches at 5 years' followup. Patients were divided into two groups depending on which surgical approach was used: anterolateral or posterior. The primary outcome measure was change in Oxford hip score. At 5 years, there were no differences in change in Oxford hip score and in dislocation or revision rates between the groups.

Level of evidence: Level II, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Publication types

  • Multicenter Study

MeSH terms

  • Aged
  • Arthroplasty, Replacement, Hip / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis, Hip / surgery
  • Prospective Studies
  • Reoperation
  • Treatment Outcome