Direct anterior approach for femoral component revision: Surgical technique for extended trochanteric osteotomy and anterior cortical window

Authors

Mina W. Morcos, London Health Sciences Centre
Michael M. Decker, UNM School of Medicine
Brent A. Lanting, London Health Sciences Centre

Document Type

Article

Publication Date

11-1-2020

Journal

Journal of Orthopaedics

Volume

22

First Page

274

Last Page

277

URL with Digital Object Identifier

10.1016/j.jor.2020.04.014

Abstract

© 2020 Professor P K Surendran Memorial Education Foundation Objective: Direct anterior approach (DAA) is becoming a popular option for both primary and revision total hip arthroplasty (THA). Adequate exposure is crucial in the setting of revision THA. The purpose of this article is to describe two different techniques for expanded femoral exposure through the DAA, the anterior extended trochanteric osteotomy and anterior cortical window. Methods: Extensile exposure were carried out in cadavers, using the contralateral hip as a control. The exposure and technical viability were assessed. Results: It was demonstrated that both extensile techniques can be carried out safely. Conclusions: Extensile exposures including femoral osteotomies can be safely carried out for revision THA via DAA.