Comparison of primary total hip replacements performed with a direct anterior approach versus the standard lateral approach: perioperative findings

Sir,

We read with interest the article entitled “Comparison of primary total hip replacements performed with a direct anterior approach versus the standard lateral approach: perioperative findings” by Alecci et al. [1] and congratulate the authors for this excellent study. However, there are some concerns:

• 1. The authors have not stated whether all the replacements were cemented, uncemented, or both, as minimally invasive surgery is more suited for uncemented [2].

• 2. The authors have also overlooked the difference in rehabilitation time after surgery or analgesic requirements between the two groups.

It would be helpful if the authors elaborated on the above-mentioned concerns.