Debate on direct-anterior vs posterior approach for hip hemiarthroplasty: The authors’ insights

Abstract

We read and discussed the study entitled “Complication rates after direct anterior vs posterior approach for Hip Hemiarthroplasty in elderly individuals with femoral neck fractures” with great interest. The authors have done justice to the topic of comparison of anterior and posterior surgical approaches for bipolar hemiarthroplasty which has been an everlasting debate in the existing literature. However, there are certain aspects of this study that need clarification from the authors.

Keywords: Commentary; Direct anterior approach; Posterior approach; Hip hemiarthroplasty

Core Tip: The debate on an ideal approach for total hip arthroplasty/hemiarthroplasty is an everlasting one. The relatively newer approaches such as the direct anterior approach are appealing to many surgeons but lack long-term data to prove their benefits and efficacy. We found an article written of great significance to the above-mentioned topic. However, we sought to request the authors to clarify some points about this research article to further strengthen the message that is being conveyed.