Main description:

Total hip arthroplasty has steadily evolved to improve patient outcomes and safety. One innovation has been to incorporate less invasive surgical methods, such as the direct anterior surgical approach.

The Direct Anterior Approach to Hip Reconstruction is a comprehensive reference text that addresses contemporary surgeon interest in innovation and less invasive surgery. This resource will help with introductory learning, intermediate technical development, and advanced revision total hip skills using the direct anterior technique. Accordingly, the text is structured into three sections as follows:

Basic concepts: Surgical hip anatomy, patient selection, and placement of single, multiple, and extensile incisions for primary total hip arthroplasty

Intermediate concepts: Adoption of imaging and navigation technologies, use of traction tables to enhance positioning, and presentation of unique instruments and custom devices that have evolved specifically for the direct anterior approach

Advanced concepts: Using the direct anterior approach for bearing and liner exchanges, acetabular revisions, femoral component revisions, and both component revisions.

Drs. B. Sonny Bal, Lee E. Rubin, and Kristaps J. Keggi have combined their unique perspectives, along with those of a renowned group of North American and European experts in the anterior hip reconstruction surgery to create this reference. Dr. Keggi was among the first to recognize the benefits of the direct anterior approach in hip reconstruction; this text is based on his 50-plus years of experience as a clinician and pioneer surgeon.

The Direct Anterior Approach to Hip Reconstruction provides a stepwise learning process for surgeons interested in mastering total hip arthroplasty using the direct anterior approach, with detailed chapters and video instruction, contributed by a distinguished group of international experts in the field.

The chapters focus on using the direct anterior approach to address a variety of hip problems well beyond performing total hip arthroplasty for osteoarthritis. The unique applications of the direct anterior approach within the orthopedic sub-specialties are addressed in chapters covering the fields of pediatrics, sports medicine, trauma, and tumor surgery. Other chapters address subjects like femoroacetabular impingement, hip preservation surgery, and postoperative rehabilitation protocols designed to improve patient outcomes.

The final section of the text reviews the evidence-based outcomes related to direct anterior total hip arthroplasty, addressing evolving implant design concepts specific to this approach, and outlining directions for educating the next generation of surgeons who will continue to develop and refine these techniques. Complementing the written text is a website with educational videos to further enhance the learning experience.

To date, no other reference has addressed the need for comprehensive education for the orthopedic resident, fellow, or surgeon seeking to learn about the direct anterior approach for hip reconstruction. This resource should be invaluable to orthopedic surgeons worldwide and will contribute to improving patient safety, reducing complications, and better surgical outcomes. Indeed, this landmark publication is truly the world's first comprehensive text on anterior hip surgery.

Contents:

Dedication

Acknowledgments

About the Editors

Contributing Authors

Foreword by Larry Dorr, MD

Introduction

Section I Basic Direct Anterior Approach Surgical Technique

Chapter 1 Applied Anatomy of the Anterior Hip and Thigh

Blake E. Peterson, MD and Brett D. Crist, MD

Chapter 2 Indications for the Direct Anterior Approach

R. Presley Swann, MD, MS and Christopher E. Pelt, MD

Chapter 3 Managing Single and Multiple Incisions in Direct Anterior Hip Surgery

Scott A. Ritterman, MD; Kristaps J. Keggi, MD, Dr Med (hc); and Lee E. Rubin, MD

Chapter 4 Primary Total Hip Arthroplasty Using the Hana Table

Navid M. Ziran, MD and Joel M. Matta, MD

Chapter 5 Extensile Approach to Anterior Hip Surgery

Blake E. Peterson, MD and Brett D. Crist, MD

Chapter 6 Anterior Supine Intermuscular Total Hip Replacement

Keith R. Berend, MD; Nathan J. Turnbull, MD; Robert E. Howell, MD; and Adolph V. Lombardi Jr, MD, FACS

Chapter 7 Tips and Tricks for Overcoming the Direct Anterior Approach Learning Curve

Benjamin Domb, MD and Timothy Jackson, MD

Section II Intermediate Direct Anterior Approach Techniques

Chapter 8 Understanding the Risks in New Technologies

B. Sonny Bal, MD, JD, MBA and Lawrence Brenner, JD

Chapter 9 Direct Anterior Total Hip Arthroplasty in the Lateral Decubitus Position

Wietse P.R. Melman, MD; Markus C. Michel, MD; and Cees C.P.M. Verheyen, MD, PhD

Chapter 10 Direct Anterior Total Hip Replacement With Leg Positioning

System and Fluoroscopy

Adam M. Freedhand, MD; Preetesh D. Patel, MD; and Eric M. Slotkin, DO

Chapter 11 Computer Navigation and Robotics in Anterior Hip Reconstruction

David Dodgin, MD; E. Matthew Heinrich, MD; and Joseph T. Moskal, MD, FACS

Chapter 12 Transitioning to Direct Anterior Total Hip Replacement

Blake E. Peterson, MD; Joseph Morgan, MD; and B. Sonny Bal, MD, JD, MBA

Chapter 13 Specialized Instruments for the Direct Anterior Approach

Dan Gerscovich, MD; Anthony S. Unger, MD; Evan Smith, MD; Kristaps J. Keggi, MD, Dr Med (hc); and Lee E. Rubin, MD

Chapter 14 Specialized Retraction for Direct Anterior Total Hip Arthroplasty

Daniel C. Allison, MD, MBA and Timothy McTighe, Dr HS (hc)

Section III Advanced Adult Reconstructive Techniques

Chapter 15 Avoiding, Recognizing, and Treating Complications of the Direct Anterior Hip Approach

Mohan S. Tripathi, MD and Stephen Kayiaros, MD

Chapter 16 How to Identify and Correct Technical Errors With the Direct Anterior Approach

Michael P. Ast, MD and Hari P. Bezwada, MD

Chapter 17 Head and Liner Revision Surgery via the Direct Anterior Approach

Scott A. Ritterman, MD; Matthew E. Deren, MD; and Lee E. Rubin, MD

Chapter 18 Simultaneous Bilateral Direct Anterior ApproachTotal Hip Arthroplasty

Stefan Kreuzer, MD, MSc and Amir Pourmoghaddam, PhD

Chapter 19 Acetabular Direct Anterior Approach Revision Surgery

Jonathan Yerasimides, MD

Chapter 20 Anterior Approach Femoral Revision Surgery

Michael Nogler, MD, MA, MSc

Section IV Direct Anterior Approach Across Orthopedic Specialties: Pediatrics

Chapter 21 Direct Anterior Hip Surgery in Pediatric Patients

Jonathan R. Schiller, MD; Philip McClure, MD; and Lee E. Rubin, MD

Chapter 22 Management of Developmental Dysplasia of the Hip With the Bernese Periacetabular Osteotomy

Atul F. Kamath, MD; Reinhold Ganz, MD; and Michael Leunig, MD

Section V Direct Anterior Approach Across Orthopedic Specialties: Sports/Hip Preservation

Chapter 23 Limited Exposure Direct Anterior Approach for Treatment of Femoroacetabular Impingement

Lee E. Rubin, MD; Joseph A. Gil, MD; and Scott A. Ritterman, MD

Chapter 24 Addressing Acetabular and Femoral Lesions in Hip Impingement With the Direct Anterior Approach

Garrett Davis, MD, MBA, MS and Javad Parvizi, MD, FRCS

Section VI Direct Anterior Approach Across Orthopedic Specialties: Trauma

Chapter 25 Management of Acetabular Fractures in the Elderly WithDirect Anterior Hip Surgery

Steve Papp, MD; Wade Gofton, MD; Derek Butterwick, MD; Allan Liew, MD; and Paul E. Beaule, MD

Section VII Direct Anterior Approach Across Orthopedic Specialties: Adult Reconstruction/Hip Preservation

Chapter 26 Proximal Femur-Preserving Hip Reconstruction With the Direct Anterior Approach

Stefan Kreuzer, MD, MSc and Amir Pourmoghaddam, PhD

Section VIII Direct Anterior Approach Across Orthopedic Specialties: Oncology

Chapter 27 Tumor Reconstruction of Hip and Proximal Femur With the Anterior Approach

Herrick J. Siegel, MD and Daniel C. Allison, MD, MBA

Section IX Direct Anterior Approach Across Orthopedic Specialties: Rehabilitation

Chapter 28 Patient Rehabilitation After Direct Anterior Hip Surgery

Sarvang Dalal, PT, DPT, MSPT, MTC, FAAOMPT and Amir Pourmoghaddam, PhD

Section X Direct Anterior Approach Across Orthopedic Specialties: Anesthesia

Chapter 29 Anesthesia for the Direct Anterior Approach to Total Hip Arthroplasty

Anjali O. Rozario, MD and Stavros G. Memtsoudis, MD, PhD

Section XI Outcomes

Chapter 30 Multi-Center Outcomes

Harman Chaudhry, MD and Mohit Bhandari, MD, PhD, FRCSC

Chapter 31 Current Direct Anterior Approach Outcomes Literature Review

Tim P. Lovell, MD

Chapter 32 Training and Educating Others About Direct Anterior Hip Surgery

John A. Scanelli, MD and Joseph T. Moskal, MD, FACS

Chapter 33 Understanding Short Femoral Stem Design and Application in Direct Anterior

Approach Total Hip Arthroplasty

Timothy McTighe, Dr HS (hc) and Daniel C. Allison, MD, MBA

Section XII Conclusion

Chapter 34 In Closing: The Futureof Direct Anterior Hip Surgery

Lee E. Rubin, MD; B. Sonny Bal, MD, JD, MBA;and Kristaps J. Keggi, MD, Dr Med (hc)

Financial Disclosures

Index