The anterior approach for conversion hip arthroplasty
Joseph S Gondusky1, Jeong H Lee2
1Jordan-Young Institute, Virginia Beach, VA, USA.
Arthroplasty Today
|December 31, 2019
Summary
Converting prior proximal femoral fracture fixation to total hip arthroplasty is common. This study details the direct anterior approach for this procedure, outlining its advantages and disadvantages.
Area of Science:
- Orthopedic Surgery
- Arthroplasty Procedures
Background:
- Conversion of proximal femoral fracture fixation to hip arthroplasty is a common procedure.
- This conversion is often necessitated by fixation failure.
- Established surgical approaches include posterior and anterolateral methods.
Purpose of the Study:
- To present the surgical technique for conversion to total hip arthroplasty using the direct anterior approach.
- To discuss the potential advantages and disadvantages of this approach for conversion procedures.
Main Methods:
- The study describes the surgical technique for conversion arthroplasty via the direct anterior approach.
- It highlights patient positioning (supine) and the use of live fluoroscopic imaging.
Main Results:
- The direct anterior approach offers an alternative for conversion arthroplasty.
- Potential benefits and drawbacks of this technique are presented.
Conclusions:
- The direct anterior approach is a viable option for converting proximal femoral fracture fixation to total hip arthroplasty.
- Understanding its specific advantages and disadvantages is crucial for surgical planning.


