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Which Approach for Total Hip Arthroplasty: Anterolateral or Posterior?

  • Original Article
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Clinical Orthopaedics and Related Research

Abstract

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.

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Acknowledgments

We thank Kate Honeybill and Dr. Polly Winter (Clinical Research Associates, Stryker Howmedica Osteonics, Newbury, UK) for help in collating the EPOS data. The following people are principal investigators of the EPOS group: P. Gibson, J. Nolan, A. Hamer, M. Fordyce, and K. Tuson. The following are study coordinators for the EPOS group: Anne Potter, Ann McGovern, Kathleen Reilly, Cathy Jenkins, Adele Cooper, Clare Darrah, Lynne Cawton, Praveen Inaparthy, and Clare Pitchfork.

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Authors and Affiliations

  1. Botnar 2 Research Centre, Nuffield Department of Orthopaedic Surgery, University of Oxford, Nuffield Orthopaedic Centre, Oxford, OX3 7LD, UK

    Jeya Palan MRCS (Eng), David J. Beard DPhil & David W. Murray FRCS (Orth)

  2. Ysbyty Gwynedd District Hospital, Penrhosgarnedd, Bangor, Gwynedd, UK

    J. G. Andrew FRCS (Orth)

  3. Norfolk and Norwich University Hospital, Norwich, UK

    John Nolan FRCS (Orth)

Authors
  1. Jeya Palan MRCS (Eng)
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  2. David J. Beard DPhil
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  3. David W. Murray FRCS (Orth)
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  4. J. G. Andrew FRCS (Orth)
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  5. John Nolan FRCS (Orth)
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Corresponding author

Correspondence to David J. Beard DPhil.

Additional information

The institution (Nuffield Orthopaedic Centre, Oxford) of one or more of the authors (JP, DJB, DWM) has received funding from Stryker Howmedica Osteonics, Newbury, UK.

Each author certifies that his or her institution has approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Palan, J., Beard, D.J., Murray, D.W. et al. Which Approach for Total Hip Arthroplasty: Anterolateral or Posterior?. Clin Orthop Relat Res 467, 473–477 (2009). https://doi.org/10.1007/s11999-008-0560-5

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  • DOI: https://doi.org/10.1007/s11999-008-0560-5

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