What is direct anterior THA?

Generally THA is done by approaching it from behind or from the side. Both these traditional approaches have the need for splitting of large bulky muscles and also having to follow certain precautions in the post-operative period. To lessen the burden of muscle damage and splitting this approach is used to perform a THA. The muscles are seperated and an internervous plane used to perform this surgery.

Advantages of Direct Anterior THA.

Fewer post operative restrictions, early mobilization, immediate full weight bearing. Accelerated recovery time and lesser pain after surgery in comparison to the tradional approach. Most of the points in favour tend to disappear at 3 months of age and the outcome is similar to others.

What are the disadvantages of direct anterior THR?

There is a steep learning curve from a surgeon’s perspective for a direct anterior THR. The surgery can be performed with only certain designs of implants. It is difficult to perform in obese individuals and sometimes would need special surgical table to perform this surgery.