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World J Orthop. Feb 18, 2016; 7(2): 94-101
Published online Feb 18, 2016. doi: 10.5312/wjo.v7.i2.94
Direct anterior total hip arthroplasty: Comparative outcomes and contemporary results
Keith P Connolly, Atul F Kamath
Keith P Connolly, Atul F Kamath, Department of Orthopedic Surgery, Center for Hip Preservation, Penn Medicine, University of Pennsylvania, Philadelphia, PA 19107, United States
Author contributions: Connolly KP and Kamath AF contributed to this paper.
Conflict-of-interest statement: The authors have no conflicts of interest to disclose pertaining to the subject of this review manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Atul F Kamath, MD, Department of Orthopedic Surgery, Center for Hip Preservation, Penn Medicine, University of Pennsylvania, 800 Spruce Street, 8th Floor Preston, Philadelphia, PA 19107, United States. akamath@post.harvard.edu
Telephone: +1-215-6878169 Fax: +1-215-8292492
Received: May 29, 2015
Peer-review started: June 2, 2015
First decision: September 29, 2015
Revised: October 25, 2015
Accepted: December 3, 2015
Article in press: December 4, 2015
Published online: February 18, 2016
Core Tip

Core tip: Direct anterior total hip arthroplasty may provide higher rates of patients discharged to home and shorter hospital stays when compared to other approaches. Long term functional outcomes do not appear to be improved by an intramuscular approach. Complication rates may be high during the initial learning period of performing this approach; however, these rates are generally shown to not exceed that of other approaches once a surgeon has completed a modest number of cases.