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The Journal of Bone and Joint Surgery (American). 2004;86:91-97
© 2004 The Journal of Bone and Joint Surgery, Inc.

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

Robert Kennon, MD, John Keggi, MD, Laurine E. Zatorski, RN and Kristaps J. Keggi, MD

Corresponding author:
Robert Kennon, MD
Keggi Orthopaedic Foundation, 1201 West Main Street, Waterbury, CT
06708. E-mail address: keggi@snet.net

The first 150 words of the full text of this article appear below.


   Introduction
 
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.

The single-incision technique previously described is usually all that is required for revision of the acetabular component or for a liner exchange (Fig. 1)1-5. However, for more complex acetabular work, such as grafting or use of acetabular cages, the approach can be extended proximally in a fashion similar to a Smith-Peterson approach (Fig. 2). The incision curves proximally along the anterior superior iliac spine and posterolaterally back along the ilium (Fig. 3). . . . [Full Text of this Article]


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