Direct Anterior Approach for Hip Hemiarthroplasty

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Abstract

Purpose: The purpose of this video is to demonstrate a surgical technique for a hemiarthroplasty of the hip joint through a direct anterior approach. We have found this technique to be a viable option for the treatment of displaced femoral neck fractures. Methods: Multiple approaches to the hip are described for arthroplasty. Direct anterior approach for hemiarthroplasty is a safe, reproducible approach. Results: The video displays our technique for performing a direct anterior approach to the hip joint for a hemiarthroplasty in the setting of a displaced femoral neck fracture. Conclusions: Hemiarthroplasty after femoral neck fractures in the elderly population is becoming increasingly more common. The direct anterior approach to the hip joint provides a safe approach for this procedure. The following video demonstrates our key principles when performing this technique. Video available at: http://links.lww.com/JOT/A794