Anterior Hip Replacement

Joel Matta, MD, Steadman Clinic, Vail, CO, USA
Alexander Sah, MD, Director of the Outpatient Joint Replacement Program, Co-Director of the Institute for Joint Restoration and Research, Sah Orthopaedic Associates, Institute for Joint Restoration, Fremont, CA, USA

Part 1. The Origins of the Anterior Hip Surgical Approach.- 1. The French Beginning and Judet School of the Anterior Approach.- 2. My French and American Beginning and Evolution of the Anterior Approach.- Part II. The Anterior Approach: An Established and Repeatable Technique.- 3. The Anterior Approach Surgical Technique for Total Hip Arthroplasty: The "Matta Method" of 2020.- 4. Understanding the Modern Surgeon's Transition to Anterior Hip Replacement.- 5. The Learning Curve for the Anterior Approach: Early, Middle, and How It Continues.- 6.  Introducing the Direct Anterior Approach (DAA) at a Swiss University Hospital.- 7. Challenges in Anterior Approach Education.- 8. Why I Favor a Standard Incision and Keys to Exposure for the Anterior Approach.- 9. Anterior Approach to the Hip Through the Oblique "Bikini" Incision.- 10. My Keys to Getting the Acetabulum Right with the Anterior Approach: Exposure, Preparation, Sizing, Position, Stability.- 11. My Keys to Gettingthe Femur Right with the Anterior Approach: Exposure, Preparation, Sizing, Depth of Insertion of Stem, Ball Head, Stability.- 12. Diagnosing and Managing Complications from the Anterior Approach.- 13. Tips and Tricks for Your First Anterior Hip Replacement.- 14. OR Efficiency: Radical Time Transparency and Operational Excellence.- 15. Results of the Direct Anterior Approach for Total Hip Arthroplasty.- 16. Difficult Cases in Primary Anterior Total Hip Arthroplasty.- 17. Direct Anterior Approach THA for Treatment of Femoral Neck and Acetabular Fractures.- 18. Anterior Approach Total Hip Arthroplasty Following Previous Femoral and Acetabular Fractures.- Part III. Hip Biomechanics: What Are We Trying to Achieve?.- 19. Normal Hip Biomechanics.- 20. Key Concepts and Methods for Acetabular Positioning.- 21. Understanding Leg Length and Offset.- Part IV. The Anterior Approach: The Variation of Techniques and Technologies.- 22. The Anterior Approach: From Robert Judet's Work to AMIS® (Anterior Minimally Invasive Surgery).- 23. The History of the Direct Anterior Approach in Innsburck.- 24. The Direct Anterior Approach on a Standard Table in Zurich.- 25. A Hybrid Technique with a Standard Table and Mechanical Leg Holder.- 26. My Continued Evolution of the Anterior Approach.- Part V. Controversies in the Anterior Approach: Surgeon Perspectives.- 27. The Orthopedic Table versus the Standard OR Bed for the Anterior Approach.- 28. Handling the Hip Capsule with the Anterior Approach: Repair versus Capsulectomy.- 29. Judging Leg Length and Offset with the Anterior Approach: Clinical Evaluation versus Fluoroscopy.- 30. Does Pelvic Tilt Change Anything with the Anterior Approach? .- 31. Getting Correct Cup Position with the Anterior Approach: Bony Landmarks versus X-ray versus Computer Guidance.- 32. Stem Choice for Anterior Approach Total Hip Arthroplasty: Surgeon Perspectives.- 33. Hip Resurfacing Arthroplasty Using the Hueter-Anterior Approach.- Part VI. Revision Surgery Using the Anterior Hip Approach.- 34. Revision Surgery Exposure Techniques for the Anterior Hip Approach, Including Osteotomies.- 35. Complex Femoral Revision Using the Direct Anterior Hip Approach.- 36. Femoral Revision Total Hip Arthroplasty Using the Direct Anterior (Hueter) Approach.- 37. Complex Acetabular Reconstruction Using the Direct Anterior Approach.- 38. Treatment of Acute and Late Infections Using the Direct Anterior Approach.- Part VII. Future Directions in Techniques and Technology for the Anterior Approach.- 39. Navigation Technologies for the Anterior Approach in Total Hip Arthroplasty.- 40. Robotic Total Hip Replacement with Direct Anterior Approach.- 41. Problems to Solve and Potential Future Directions for Anterior Approach Total Hip Arthroplasty.