Total Joint Arthroplasty

DALLAS — Use of the posterior approach in total hip arthroplasty had the highest risk of dislocation and use of the lateral approach had highest rate of all-cause revision surgery, according to results of a comparison of three different THA approaches presented at the American Association of Hip and Knee Surgeons Annual Meeting.

At Orthopedics Today Hawaii, being held Jan. 12-16, 2020, attendees can expect updates on what has happened in 2019 and what is to come in 2020, as well as practical tips and pearls across all subspecialties, including sports medicine, total joint replacement, trauma and shoulder and elbow.

Published results showed significant cost savings and decreased cost variability within the first year of implementing a preferred single-vendor program for hip and knee arthroplasty implants.

In reality, there is no absolute contraindication for the direct anterior approach. I use the direct anterior approach on more than 95% of my patients who undergo THA.

Total hip arthroplasty can be performed with several surgical approaches, including the posterior approach, the lateral approach, the anterolateral approach and the direct anterior approach. With emphasis in health care today being on improved patient outcomes and reducing costs, the choice of surgical approach used for THA has become particularly controversial, especially the use of the direct anterior approach.