Published online Jan 18, 2016. doi: 10.5312/wjo.v7.i1.38
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: 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.