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No evidence for superior patient-reported outcome scores after total hip arthroplasty with the direct anterior approach at 1.5 months postoperatively, and through a 5-year follow-up

Journal of Arthroplasty Feb 18, 2020

Sauder N, Vestergaard V, Siddiqui S, et al. - The intent of this study was to compare patient reported outcome measures (PROMs) between total hip arthroplasty (THA) individuals treated with the direct anterior or posterolateral approach between 1.5 months and 5 years, using literature-derived individual acceptable symptom state and minimal clinically important improvement thresholds. Researchers conducted a propensity score match of 93 direct anterior individuals to 93 posterolateral individuals from a multicenter US collaboration (6 centers, 398 individuals). There was no evidence of superior early postoperative PROM scores in THA individuals treated with the direct anterior approach. There were no PROM differences at or beyond 1-year, showing that individuals reach similar final symptom states, regardless of the surgical approach.
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