Related Experiment Video
Updated: Jun 21, 2026
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Anterior-supine minimally invasive total hip arthroplasty: defining the learning curve
Brian E Seng1, Keith R Berend, Andrew F Ajluni
1Joint Implant Surgeons, Inc., 7277 Smith's Mill Road, New Albany, OH 43054, USA.
Abstract:
The anterior-supine intermuscular approach is a truly muscle-sparing approach to total hip arthroplasty with a low complication rate. The advantages include improved early recovery and return to everyday activities. The authors found the learning curve to be around 40 cases and 6 months in a high-volume joint surgeon's practice. This article provides a detailed description of the surgical approach, including the use of a standard operating room table and fluoroscopy. Cadaver dissections and one-on-one mentoring are recommended when implementing this approach in one's practice.