[Anterior approach in total hip arthroplasty]

Area of Science:

• Orthopaedic Surgery
• Anatomy

Context:

• The anterior approach to the hip is a surgical technique used for hip joint procedures.
• Understanding the anatomical landmarks and surgical steps is crucial for successful outcomes.

Purpose:

• To describe the anatomical considerations and surgical steps of the anterior hip approach.
• To highlight the advantages of this approach, including ease of access and potential for early rehabilitation.

Summary:

• The anterior hip approach involves dissection between the tensor fascia lata and sartorius muscles, then laterally to the vastus externus.
• Limited desinsertion of the fascia lata is required in about half of the cases.
• Wide capsular access is achieved, simplifying dislocation and exposure of the femoral head/neck and acetabulum.
• The procedure allows for simple closure and early rehabilitation as the trochanter is not sectioned.

Impact:

• This approach provides excellent visualization of the hip joint structures.
• The technique facilitates straightforward surgical procedures and promotes faster patient recovery.
• It represents a valuable option for hip surgeries requiring access to the femoral head, neck, and acetabulum.