A modified direct anterior approach for primary total hip arthroplasty: surgical technique.

ABSTRACT: The direct anterior approach (DAA) for total hip arthroplasty is increasingly adopted because of its muscle-sparing nature and potential for faster recovery. However, its use is often limited by the need for a traction table, dedicated instrumentation, and a demanding learning curve. We present a simplified modification of the DAA that can be performed on a standard operating table without specialised equipment. The technique preserves the Hueter interval but introduces specific refinements, including a slightly lateralised skin incision to reduce the risk of lateral femoral cutaneous nerve injury and a U-shaped capsulotomy to facilitate acetabular exposure and en bloc soft tissue management. These adjustments eliminate traction-related complications, reduce reliance on additional staff an

SUBMITTER: Iorio R 

PROVIDER: S-EPMC12542394 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature