Published online Mar 18, 2025. doi: 10.5312/wjo.v16.i3.105318
Revised: February 23, 2025
Accepted: February 25, 2025
Published online: March 18, 2025
Processing time: 53 Days and 18.5 Hours
This editorial critically evaluated the recent study by Ishikura et al, which examined the impact of anterior minimally invasive total hip arthroplasty (MIS-THA) on postoperative quality of life, with a specific focus on the timeline and influencing factors for return to work and resumption of driving. Ishikura et al's research demonstrated that anterior MIS-THA could shorten recovery time, reduce postoperative pain, and significantly enhance patients' quality of life and productivity. Their findings identified occupational type and work intensity as key determinants of postoperative recovery. By synthesizing evidence from multiple studies, this analysis systematically evaluated the clinical advantages of anterior MIS-THA—including reduced soft tissue trauma and accelerated functional recovery—while acknowledging its limitations, such as a steep surgical learning curve and early postoperative complication risks. The discussion emphasized the necessity of designing personalized rehabilitation protocols that accounted for patients' occupational demands. Notably, while current findings primarily derived from retrospective analyses, the article highlighted the need for prospective cohort studies to validate these observations. The commentary also addressed ongoing debates in the field, particularly the elevated complication rates associated with the direct anterior approach compared to posterior tech
Core Tip: Although minimally invasive total hip arthroplasty is safe, effective, reliable and conducive to rapid recovery of patients, few studies have focused on its impact on return to work and resumption of driving, which are key factors affecting postoperative quality of life.