This study aims to analyze the difference in rates of wound complications using two different closure techniques in Direct anterior approach for primary total hip replacement.

The use of the direct anterior approach (DAA) for primary total hip arthroplasty (THA) has been increasingly popular but there has been a reported increased risk of wound complications compared with a posterior approach. Wound complications can lead to increased length of stay, reoperation procedures (i.e., irrigation and debridement), patient dissatisfaction, extra visits, readmissions, increased risk of periprosthetic joint infection and overall increased costs.

Inclusion Criteria:

• Patients older than 18 years old that will undergo THA via DAA

Exclusion Criteria:

• Previous hip arthroplasty surgeries or scars
• THA secondary to oncologic or traumatic etiologies
• BMI ≥ 40
• uncontrolled diabetes (measured by a Hgb A1c above 8)
• reported allergy to skin adhesive