Abstract
The Direct Anterior Approach (DAA) has become an increasingly popular choice among
orthopedic surgeons for performing total hip arthroplasty (THA). The DAA provides
a less invasive means of accessing the hip joint, which has translated to an earlier
recovery of function for many patients following THA. Despite its attractiveness,
there continues to be concern in the orthopedic community regarding a learning curve
for those not formally trained in the use of the DAA. This so-called learning curve
has been associated with a period of increased complications such as component malalignment,
increased operative blood loss, need for early revision, among others.
Described here is a reproducible step-by-step approach to performing the DAA with
the use of a traction table and C-arm fluoroscopy. It is our belief that with a dedicated
period of study, careful attention to detail from patient positioning through capsular
releases and bone preparation, and a plan for continued learning that many of the
aforementioned complications can be avoided during one's practice transition to the
use of the DAA for THA.
Keywords
direct anterior approach - DAA - total hip arthroplasty - THA - learning curve
