Direct anterior approach complications for total hip arthroplasty
L J Fernández-Palomo1, R González-Pola1
1Centro de Ortopedia y Traumatología. Centro Médico ABC Santa Fe. Ciudad de México. México.
Acta Ortopedica Mexicana
|March 11, 2024
Summary
The direct anterior approach (DAA) for total hip arthroplasty offers benefits like muscle preservation and faster recovery. However, this minimally invasive technique presents potential complications that surgeons should understand to minimize risks.
Area of Science:
- Orthopedic Surgery
- Surgical Techniques
Background:
- The direct anterior approach (DAA) is a popular minimally invasive technique for total hip arthroplasty (THA).
- It aims to preserve muscle integrity and enhance hip stability, potentially leading to reduced trauma and faster recovery.
Purpose of the Study:
- To review potential complications and pitfalls associated with the DAA in THA.
- To provide guidance for surgeons on minimizing and avoiding these challenges.
Main Methods:
- Literature review of studies and case reports on DAA for THA.
- Analysis of reported complications and their management strategies.
Main Results:
- The DAA, while beneficial, is associated with specific risks and challenges.
- Common issues include nerve injury, fracture, and soft tissue complications.
Conclusions:
- Understanding the potential drawbacks of DAA is crucial for safe and effective hip replacement surgery.
- Adherence to proper surgical technique and awareness of potential pitfalls can optimize patient outcomes.


