Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jan 18, 2016; 7(1): 38-43
Published online Jan 18, 2016. doi: 10.5312/wjo.v7.i1.38
Direct anterior total hip arthroplasty: Literature review of variations in surgical technique
Keith P Connolly, Atul F Kamath
Keith P Connolly, Atul F Kamath, Department of Orthopedic Surgery, Center for Hip Preservation, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, PA 19107, United States
Author contributions: Connolly KP and Kamath AF equally contributed to this paper.
Conflict-of-interest statement: The authors have no conflicts of interest to disclose pertaining to the subject of this review manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Atul F Kamath, MD, Department of Orthopedic Surgery, Center for Hip Preservation, Pennsylvania Hospital, University of Pennsylvania, 800 Spruce Street, 8th Floor Preston, Philadelphia, PA 19107, United States.
Telephone: +1-215-6878169 Fax: +1-215-8292492
Received: May 27, 2015
Peer-review started: May 30, 2015
First decision: August 4, 2015
Revised: October 11, 2015
Accepted: November 3, 2015
Article in press: November 4, 2015
Published online: January 18, 2016
Core Tip

Core tip: This review captures the most important concepts of direct anterior total hip arthroplasty as described by numerous surgeons’ experiences with the procedure. It compares variations in surgical exposure and arthroplasty techniques, while identifying key elements of the anterior hip anatomy for performance of safe and efficient surgery. The review divides anterior hip arthroplasty into six distinct elements, citing the most relevant pearls and pitfalls of previous publications and the most relied upon surgical methods. This concise summary can be beneficial to any level of surgeon desiring to enhance their understanding of direct anterior total hip arthroplasty.