Abstract:With the increase of the elderly population, the incidence rate of hip diseases is also rising, such as brittle fracture of the elderly hip, necrosis of the femoral head, and end-stage hip osteoarthritis. Total hip arthroplasty (THA) is one of the most effective means to treat such diseases. The clinical approach for THA surgery is also different, and different approaches have a significant impact on postoperative gait, hip joint stability, and muscle function of patients. The traditional conventional surgical approach can provide a clearer surgical field of view, more comprehensive display, and facilitate the operation of the surgeon. However, minimally invasive surgery has fewer injuries, less bleeding, and less postoperative pain, which promotes early ground mobility and shortens hospital stay, while minimally invasive surgical incisions have shortcomings such as complex surgical procedures and difficult exposure in complex hip joint diseases. At present, there is no consensus on the optimal surgical approach for THA. Therefore, the author reviews the surgical approaches for THA, providing ideas and choices for the clinical application of surgical approaches.