Applied Anatomy of the Direct Anterior Approach for Femoral Mobilization

JBJS Essential Surgical Techniques
Jose A RodriguezH John Cooper

Abstract

Study of the anterior anatomy of the hip reveals specific aspects that are crucial to success in performing both the surgical approach to the hip and mobilization of the femur. In this article, we present the relevant anatomy and our operative technique. Review the anatomy of the hip as it relates to the surgical technique as doing so is essential to understanding the surgical technique6. Review the surgical approach to the hip. In the first step of femoral mobilization, release the superior-posterior capsule. If sufficient elevation of the femur is not achieved with release of the capsule, perform rotator visualization and serial release. Our prospective, nonrandomized study compared DAA THA using our technique for femoral mobilization with the posterior approach THA12.

References

May 17, 2000·The Journal of Bone and Joint Surgery. British Volume·M BeckR Ganz
Dec 7, 2005·Clinical Orthopaedics and Related Research·Joel M MattaTania Ferguson
Apr 21, 2010·Clinical Orthopaedics and Related Research·Masanori MatsuuraYoshiaki Okajima
Oct 5, 2010·Clinical Orthopaedics and Related Research·Brian A Jewett, Dennis K Collis
Aug 22, 2013·Clinical Orthopaedics and Related Research·José A RodriguezAmar S Ranawat
Jan 11, 2014·The Journal of Arthroplasty·Parthiv A RathodJosé A Rodriguez
Feb 20, 2014·Clinical Orthopaedics and Related Research·Parthiv A RathodJose A Rodriguez
Aug 27, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Zachary D PostAlvin Ong
Apr 16, 2015·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·H John CooperJosé A Rodriguez
Sep 24, 2015·Clinical Orthopaedics and Related Research·Richard Noel de SteigerMichael Solomon
Apr 8, 2016·The Journal of Bone and Joint Surgery. American Volume·Diana RudinKarl Grob
Oct 19, 2016·The Journal of Arthroplasty·Kenneth H JahngH John Cooper
Oct 28, 2015·JBJS Essential Surgical Techniques·William J Hozack, Snir Heller

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Citations

Jul 31, 2020·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Andrew J KanawatiChris S Bailey
Feb 2, 2021·Arthroplasty Today·Gloria CodenMatthew Hepinstall

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