A systematic review of total hip replacement approaches revealed that the direct lateral approach had the lowest hip score improvement.
Lei Yan, MD and his colleagues reviewed 63 random control trials. These trials compared the outcomes of eight surgical approaches for THA in 4,859 patients (median age 64 years). There were eight approaches: the posterior approach, two-incision approach and direct anterior approach (DAA), lateral approach to THA (DLA), minimally-invasive direct lateral (MIS-DLA), minimally-invasive invasive (DLA) and invasive.
