Leonard HJ, et al. - In this study, the clinical, radiological, and patient-reported outcome measures (PROMs) in the first 100 consecutive patients undergoing total hip arthroplasty (THA) via a direct superior approach (DSA) were compared with those in a matched group of patients undergoing THA by the same surgeon, using a posterolateral approach (PLA). In this retrospective single surgeon study, a shorter length of hospital stay and shorter time to discharge from the inpatient physiotherapy teams were observed for the DSA patients. Based on outcomes, the DSA appears safe and seems not linked with a significant difference in PROMs, radiological findings, or intraoperative or postoperative complications. Researchers, however, suggest a necessity for a randomized controlled trial with functional outcomes in the postoperative phase to evaluate this surgical approach formally.