الفهرس 
Neurovascular anatomyOnly 14 pages are availabe for public view
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Abstract
Background: Total hip arthroplasty is used widely around the world as one of the most effective operations for relieving pain, restoring hip function, and improving quality of life with painful or deformed hip joints. Total hip replacement (THR) has been described as the ‘operation of the century and has provided long-lasting pain relief, reliable and improved clinical function and enhanced the quality of life for millions of patients with arthritic, and painful hips.
Objectives: We conducted this study to compare various clinical outcomes and complication rates across the 2 approaches which may influence surgeon choice in the future and to identify which approach is the best for THA.
Materials and Methods: This systematic review and network meta-analysis were conducted following guidelines in the preferred reporting items for systematic reviews and meta-analyses (PRISMA), extension of network meta-analyses. The search was conducted by using the databases: MEDLINE, Cochrane library, Ovid and the clinical trial registries. In addition we will seek expert opinion and use the web of science citation index.
Results: We have found that the posterior approach seems to be safer and with lower risk of complications but still we need more multi-arm randomized controlled trials to improve the quality of evidence and the clinical significance.
Conclusion: The posterior approach seems to have lower complications and higher harris hip scores. Therefore, the use of the posterior approach seems to be safer for 1ry THA.