Direct anterior total hip arthroplasty: Literature review of variations in surgical technique

World Journal of Orthopedics
Keith P Connolly, Atul F Kamath

Abstract

The direct anterior approach to the hip has been suggested to have several advantages compared to previously popular approaches through its use of an intra-muscular and intra-nervous interval between the tensor fasciae latae and sartorius muscles. Recent increased interest in tissue-sparing and minimally-invasive arthroplasty has given rise to a sharp increase in the utilization of direct anterior total hip arthroplasty. A number of variations of the procedure have been described and several authors have published their experiences and feedback to successfully accomplishing this procedure. Additionally, improved understanding of relevant soft tissue constraints and anatomic variants has provided improved margin of safety for patients. The procedure may be performed using specially-designed instruments and a fracture table, however many authors have also described equally efficacious performance using a regular table and standard arthroplasty tools. The capacity to utilize fluoroscopy intra-operatively for component positioning is a valuable asset to the approach and can be of particular benefit for surgeons gaining familiarity. Proper management of patient and limb positioning are vital to reducing risk of intra-operative compl...Continue Reading

Associated Clinical Trials

Citations

Jan 14, 2017·Der Orthopäde·M Krismer, M Nogler
Jan 25, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Connor W SullivanJared T Roberts
Feb 20, 2020·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·David R MaldonadoBenjamin G Domb
Dec 6, 2018·Journal of Orthopaedic Surgery and Research·Gongyin ZhaoYuji Wang
Jul 18, 2018·MMW Fortschritte der Medizin·Florian PohligRüdiger von Eisenhart-Rothe
Feb 22, 2017·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Richard J HanlyAndrew John Timperley
Mar 7, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Fabrizio RiveraAndrea Giolitti
Jul 21, 2021·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Elisabetta FerrariRobert Wallbank

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