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. 2006 Jul 19;2006(3):CD003828. doi: 10.1002/14651858.CD003828.pub3

Downing 2001.

Methods Trial: consecutive patients grouped according to surgeon's approach (usual referral practice) ‐ prospective cohort study
Participants 100 patients 
 49 posterior approach 
 51 direct lateral approach 
 Queen's Medical Centre, University Hospital, Nottingham, UK 
 Mean age 67y [41‐83] (post), 65y [42‐83] (lat) 
 51% female (post) 59% female (lat) 
 Follow‐up at 3 and 12 months 
 Losses to follow‐up not described per group (27 lost/100)
Interventions Cemented stems: Exeter (post) Charnley (lat). Cup used not stated. 
 Standard rehabilitation program for both approaches but not described
Outcomes ‐ Trendelenburg gait 
 ‐ Abductor strength 
 ‐ Dislocation 
 ‐ Periprosthetic fracture 
 ‐ Mortality
Notes Quality score: Internal validity 4/10, descriptive criteria 4/5, statistical criteria 1/2, total 9/17 
 Benefits from commercial part
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? High risk C ‐ Inadequate