Approach-specific complication management in direct anterior approach total hip arthroplasty

The direct anterior approach (DAA) has become increasingly established in primary total hip arthroplasty due to its muscle-sparing access, low dislocation rates and fast rehabilitation. At the same time, it requires a nuanced approach to complication management. This article addresses common DAA-specific challenges and outlines strategies for treatment, involving distal and proximal surgical approach extensions and strategies for fracture management through the same approach. With appropriate techniques even complex revisions of the femur and acetabulum can be performed via the DAA and its extensions. For experienced surgeons, this approach thus provides a safe and effective option, even in revision settings.