Anterior Approach for Total Hip Arthroplasty: Beyond the Minimally Invasive Technique

A revision total hip arthroplasty presents a greater challenge than a primary procedure regardless of the approach used. The same direct anterior approach developed by the senior author for primary total hip arthroplasty through mini-incisions can be readily extended proximally and distally for use in complex revision surgeries, including reconstruction with an acetabular cage, stem revisions, and even total femoral replacements. We routinely use it for all of our revision surgeries.