Two-incision Total Hip Arthroplasty: Techniques and Pitfalls

The two-incision total hip arthroplasty is a surgical technique that combines two standard orthopaedic surgical approaches with fluoroscopic guidance, conventional hip implants, and specialized instrumentation. The goal of this procedure is to minimize soft tissue trauma, thereby reducing postoperative morbidity and accelerate rehabilitation. Early reports in the literature have demonstrated a varying incidence of traditional complications and the emergence of additional potential intraoperative complications. We will review the two-incision total hip arthroplasty surgical technique and identify potential pitfalls. Specific recommendations on how to avoid these surgical pitfalls will be described so as to minimize the surgeon’s risk of having a complication.

Level of Evidence: Level V (expert opinion). See the Guidelines for Authors for a complete description of levels of evidence.