The size of the incision or the implant does nothing to the longeivity or function of the implants. It is the technique, quality of bearing, fixation and alignment which is paramount. The approach whether anterior or posterior if done well does not matter. Why are we stuck on the size? yes, it could be a marketing tool. These fads fade away and what matters most is the function and longievity. Smaller Proximal loading stems might have a role in preserving proximal bone. Till date No hip other than resurfacing maitain bone in gruen zone 1 and 6. With the metal on metal controversies surface replacement is used in select cases only.
Wounds heal side to side and possibly better rehab and multimodal analgesis will help to get the patient up quickly.
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