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Debate: Anterior vs. Posterior Approach for Primary Total Hip Arthroplasty – Which is Superior in Yemen? 94d31

Ali Al-Zarqa
Jul 24, 2025
730 views
4 replies
A
Ali Al-Zarqa
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.
M
Muhammad Al-Sayrafi
Member
Jul 24, 2025 4:25 PM
#2
While PRP shows promise, I remain cautious for full-thickness tears due to inconsistent evidence, especially in our setting. Physical therapy remains paramount. For partial tears, it might be an adjunctive therapy, but shouldn't replace a solid rehabilitation plan.
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Anwar Al-Fadhl
Member
Jul 24, 2025 4:25 PM
#3
Regarding the non-union, Dr. Al-Fadhl, I'd first get a CT scan to assess the fracture gap and hardware position. If there's a significant gap or malalignment, revision surgery with robust internal fixation (plate or longer nail) and bone grafting (autograft from iliac crest if possible) is often necessary. Consider checking for infection markers, which are crucial in our context.
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Muhammad Al-Dawas
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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