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Total hip arthroplasty through an anterior approach has been increasing in popularity amongst surgeons and patients.
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Anterior approach hip arthroplasty seems to offer improved early outcomes in terms of pain, rehabilitation and length of stay.
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No difference in long-term outcomes has been shown between anterior and posterior or lateral approaches.
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Proper formal training, utilization of fluoroscopy and adequate experience can mitigate risks of complications and improve early and medium-term outcomes.
Cite this article: EFORT Open Rev 2018;3:574-583. DOI: 10.1302/2058-5241.3.180023.