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Purpose <p>This study examines the impact of surgical approach on patient-reported outcomes in staged bilateral total hip arthroplasty (THA) performed in same patient using two different approaches: the direct anterior approach (DAA) on one side and posterolateral approach (PL) on other side.</p> Methods <p>A retrospective analysis of 41 patients evaluated pain relief and functional outcomes using patient-reported outcome measures (PROMs) at 7&#xa0;days, 6&#xa0;months, and 12 months postoperatively.</p> Results <p>The DAA demonstrated significantly better pain relief and functional outcomes during the first 7&#xa0;days after surgery. However, no significant differences were found between the two approaches in long-term outcomes at 6 and 12 months.</p> Conclusion <p>While the DAA may provide early recovery advantages, both approaches achieve comparable long-term results. The DAA could be a preferable option for patients prioritizing quicker recovery. Further research with larger sample sizes is warranted to confirm these findings and explore patient preferences.</p>

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Does surgical approach matter? Evaluating patient-reported outcomes in bilateral staged total hip arthroplasty

  • 期刊论文

  • 发表日期：

    2025年4月2日

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  • Nicola Corradi,
  • Alberto Trimarchi,
  • Fabio Moreschini,
  • Ilaria Martini,
  • Alessandro Lorenzo Soldati,
  • Andrea Colombelli

摘要

Purpose

This study examines the impact of surgical approach on patient-reported outcomes in staged bilateral total hip arthroplasty (THA) performed in same patient using two different approaches: the direct anterior approach (DAA) on one side and posterolateral approach (PL) on other side.

Methods

A retrospective analysis of 41 patients evaluated pain relief and functional outcomes using patient-reported outcome measures (PROMs) at 7 days, 6 months, and 12 months postoperatively.

Results

The DAA demonstrated significantly better pain relief and functional outcomes during the first 7 days after surgery. However, no significant differences were found between the two approaches in long-term outcomes at 6 and 12 months.

Conclusion

While the DAA may provide early recovery advantages, both approaches achieve comparable long-term results. The DAA could be a preferable option for patients prioritizing quicker recovery. Further research with larger sample sizes is warranted to confirm these findings and explore patient preferences.