The Direct Anterior Approach to Hip Reconstruction: A Comprehensive Guide

The Direct Anterior Approach to Hip Reconstruction is a pioneering reference text that addresses the growing interest in innovative and less invasive surgical techniques. This comprehensive resource is designed to facilitate learning, skill development, and mastery of the direct anterior approach for surgeons at all levels, from introductory to advanced.

Structured Learning Approach

The text is strategically divided into three sections to cater to the diverse needs of surgeons:

• Basic Concepts

  • Surgical hip anatomy
  • Patient selection and placement of single, multiple, and extensile incisions for primary total hip arthroplasty

• Intermediate Concepts

  • Adoption of imaging and navigation technologies
  • Use of traction tables to enhance positioning
  • Presentation of unique instruments and custom devices specifically designed for the direct anterior approach

• Advanced Concepts

  • Using the direct anterior approach for bearing and liner exchanges, acetabular revisions, femoral component revisions, and both component revisions

Expert Contributions and Insights

This reference text is the culmination of the collective expertise of renowned surgeons Dr. B. Sonny Bal, Dr. Lee E. Rubin, and Dr. Kristaps J. Keggi, along with contributions from a distinguished group of North American and European experts in anterior hip reconstruction surgery. Dr. Keggi’s 50-plus years of experience as a clinician and pioneer surgeon have been instrumental in shaping this comprehensive guide.

Comprehensive Coverage and Applications

The chapters in this text provide a stepwise learning process for surgeons, covering a wide range of topics, including:

• Using the direct anterior approach to address various hip problems beyond osteoarthritis
• Applications in pediatrics, sports medicine, trauma, and tumor surgery
• Femoroacetabular impingement, hip preservation surgery, and postoperative rehabilitation protocols

Evidence-Based Outcomes and Future Directions

The final section of the text reviews evidence-based outcomes related to direct anterior total hip arthroplasty, discusses evolving implant design concepts specific to this approach, and outlines directions for educating the next generation of surgeons.

A companion website featuring educational videos complements the written text, further enhancing the learning experience.

This landmark publication is the world’s first comprehensive text on anterior hip surgery, providing invaluable guidance for orthopedic surgeons worldwide and contributing to improved patient safety, reduced complications, and better surgical outcomes.