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Debate: Anterior vs. Posterior Approach for Primary Total Hip Arthroplasty – Which is Superior in Yemen? eff5d

Muhammad Salem
Jul 24, 2025
1405 views
4 replies
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Muhammad Salem
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Orthopedic community, I'd like to open a debate on the optimal surgical approach for primary total hip arthroplasty in Yemen: anterior vs. posterior. What are the key advantages and disadvantages of each from your experience, particularly concerning post-operative dislocation rates, pain, and recovery time? Are there specific patient profiles that might favor one approach over the other in our context? Your clinical perspectives are highly valued.
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Muhammad Al-Khamisi
Member
Jul 24, 2025 4:25 PM
#2
I prefer the anterior approach for most primary THA due to faster initial recovery and lower perceived dislocation risk, which is important for patient mobility in Yemen. However, it does have a steeper learning curve and can be challenging in very muscular or obese patients. Exposure can be limited for complex femoral anatomy.
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Muhammad Salem
Member
Jul 24, 2025 4:25 PM
#3
Absolutely, Dr. Salem! We've implemented a similar multimodal protocol in our Sana'a hospital. Adding gabapentin or pregabalin pre-operatively for chronic pain patients has also shown promising results in reducing post-op opioid needs. It's about tailoring the pain regimen to the patient's individual risk factors, which are often complex here.
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Yahya Al-Hamdani
Member
Jul 24, 2025 4:25 PM
#4
From a public health perspective in Yemen, such dilemmas highlight the need for stronger primary prevention programs to reduce the burden of preventable orthopedic conditions, thereby freeing up resources for more urgent cases. Advocacy for increased healthcare funding is also crucial.

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