Elective Total Hip Arthroplasty: Which Surgical Approach Is Optimal?

Background: For decades, the total hip arthroplasty procedure of choice has been a standard posterior approach. In the past several years, modified muscle-sparing surgical approaches have been introduced, including the mini posterior and direct anterior approaches. However, the optimal surgical approach is still being debated. Case Presentation: This case report describes a patient with right hip end-stage degenerative joint disease, a comparison of the mini posterior and direct anterior approaches, and the patient's choice of procedure. Conclusions: The final decision for total hip arthroplasty approaches should be dependent on the patient-surgeon relationship and informed decision making.