Proximal Femoral Replacement Using the Direct Anterior Approach to the Hip

Proximal femoral replacement is the salvage procedure for the most severe hip arthroplasty problems. We presented a straightforward approach to this complex procedure using the direct anterior approach to the hip. This allows for accurate fluoroscopic confirmation of acetabular implant placement and direct comparison of leg lengths. It also allows the patient to be supine during the surgery which facilitates the anesthesia care of this challenging patient population.