Treatment of total hip arthroplasty between two surgical access routes associated chronic pain, function and biomechanical parameters in older after osteoporotic femur fracture: cohort study

Total hip arthroplasty via the posterolateral approach proved to be more successful when associated with reducing chronic pain, improving functional parameters and hip joint mobility, as well as facilitating a more efficient gait pattern with lower rates of plantar overload and enhanced body balance in older adults undergoing total hip arthroplasty after osteoporotic femur fracture. These findings are clinically relevant as they indicate that this approach not only provides significant pain relief but also improves the patients' quality of life by restoring hip functionality and mobility, while reducing the risk of falls and complications related to postural imbalance. The combination of these benefits suggests that the posterolateral approach could be a preferred option for elderly patients with osteoporotic fractures, aiming to optimize postoperative outcomes and improve long-term functional recovery.