Total hip replacement anterior versus lateral approach.

The anterior supine intermuscular approach is a truly muscle-sparing approach to total hip arthroplasty with a low complication rate. The advantages include improved early recovery and return to everyday activities. Study-aim is to compare the level of function of primary total hip arthroplasties performed through an anterior and a transgluteal approach. Primary outcome is level of function (Harris hip score. Secondary outcomes are: Dutch WOMAC-score, SUSHI-score, VAS, complications, surgery-time, blood loss, length incision, days of hospital stay and range of motion.

We expect a higher functional level (Harris hip score) 6 weeks and one year after total hip replacement.

After 3 days, 6 weeks, 3 and 6 months and 1 year

Total hip arthroplasty trough an anterior superior intermuscular approach or a transgluteal approach. In each procedure, the same prothesis is placed. The benefits of the anterior superior approach are that a smaller incision will be made, patients will experience less pain, there will be a smaller amount of blood loss and less damage is done to the soft tissue so that patients will recover faster. Negative point is the risk of nerve damage. Benefit of the lateral approach is that the experience is high.