Evidence map›Paper›PMID 42516475›Full record

ReviewCureus2026

Direct Anterior Versus Posterior Approach in Total Hip Arthroplasty: A Literature Review Comparing Outcomes, Functional Recovery, and Return to Sports.

Bartosz M Krukowski, Maciej Slysz, Michal Majewski, Ada Swiatko, Magdalena Zabczynska, Mateusz Chmiela, Weronika Janik, Anna K Czesyk

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Bartosz M KrukowskiDepartment of Orthopedics, Trauma and Hand Surgery, University Clinical Hospital, Wroclaw Medical University, Wrocław, POL.
Maciej SlyszDepartment of Oncological Surgery, Lower Silesian Oncology, Pulmonology and Hematology Center, Wrocław, POL.
Michal MajewskiDepartment of Surgery, Health Care Center, Oława, POL.
Ada SwiatkoDepartment of Orthopedics, Trauma and Musculoskeletal Oncology, Voivodeship Specialist Hospital, Wrocław, POL.
Magdalena ZabczynskaDepartment of Oncological Surgery, Lower Silesian Oncology, Pulmonology and Hematology Center, Wrocław, POL.
Mateusz ChmielaDepartment of Surgery, Health Care Center, Oława, POL.
Weronika JanikDepartment of Surgery, Health Care Center, Oława, POL.
Anna K CzesykFaculty of Medicine, Wroclaw Medical University, Wrocław, POL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hip osteoarthritis is becoming an increasingly serious and common problem. Global trends indicate a steadily rising number of people affected by this condition. At the same time, there is a gradually increasing need for treatment of this condition among younger demographic groups. This leads to an increasing need for research on the outcomes of total hip arthroplasty. The aim of this literature review is to compare the outcomes of procedures performed using the direct anterior and direct posterior approaches, taking into account an analysis of patients' ability to return to full function and intraoperative parameters. The study is based on the results of studies, including meta-analyses and reviews, identified and selected using the PubMed, Cochrane, Embase, and Google Scholar databases. To ensure the appropriate quality of the analyzed studies and to present the current state of medical knowledge in the review, it was decided to apply exclusion criteria considering the publication date, objective, and methodological quality of the studies. Evidence from the analyzed studies indicates significant differences in the profile of complications, intraoperative parameters, and muscle damage between direct anterior access and posterior access. The findings suggest that the choice of approach does not affect residents' learning curve. The studies demonstrated that regardless of the chosen approach, patients undergoing total hip arthroplasty can return to physical activity, which is a particularly important factor for young patients undergoing arthroplasty. Although both approaches constitute a safe standard of care for hip osteoarthritis, the analysis highlighted the ongoing need to study the impact of surgical approach selection on patients' return to sports activities and postoperative pain management protocols. The choice of surgical technique should be based not only on the patient's anatomy but also on their activity level.

Indexed as

direct anterior approachendoprosthesisfunctional recoveryposterior approachtotal hip arthroplasty

Identifiers

PMID42516475
PMCPMC13402269

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.