Hip Resurfacing Utilizing the Direct Anterior Approach

Abstract

Background: The direct anterior approach (DAA) has been used successfully in total hip arthroplasty with many benefits including improved radiographic positioning of components, earlier ambulation, as well as decreased narcotic consumption, length of stay, dislocation rate, discharge to rehabilitation facility (vs. home) and 30-day readmission. Hip resurfacing can be a successful surgical option for the properly selected patient as it can preserve bone stock and provide excellent function including improved activity levels as compared with total hip arthroplasty. Traditionally hip resurfacing has been performed via an extensile posterior approach, but the benefits of DAA can be applied to resurfacing though not without a learning curve. Case Presentation: Here we report the surgical technique of hip resurfacing performed supine on a Hana table via the DAA and include key steps to ensure adequate exposure and minimize complications.