“Table-less” and “Assistant-less” Direct Anterior Approach to Hip Arthroplasty

Authors

  • Daniel C Allison Cedars-Sinai Medical Center Children's Hospital of Los Angeles University of Southern California
  • Lawrence R Menendez University of Southern California
  • William W Brien Cedars-Sinai Medical Center
  • Timothy McTighe Joint Implant Surgery & Research Foundation

DOI:

https://doi.org/10.15438/rr.5.3.122

Keywords:

Hip arthroplasty, hip replacement, hip reconstruction, direct anterior approach

Abstract

In recent years, specialized, non-sterile, traction table systems have facilitated Direct Anterior Approach (DAA) hip arthroplasty. To combat the potential downsides of these traction systems, a sterile, intra-operative retractor option has emerged as a means to access the surgical site more easily, minimize soft-tissue trauma, and reduce the degree of required human assistance.  This chapter describes the setup, surgical approach, and early results of a retractor system (the Phantom MIS Anterior Hip Retractor system [TeDan Surgical Innovations, Inc. {TSI}, Houston, Texas, US Patent # 8,808,176 B2]), which uses a standard operating table, allows preparation of both lower extremities free in the surgical field, is compatible with fluoroscopy, and aids in both acetabular and femoral exposure, preparation, and implantation. Early outcome data indicates that this system significantly minimizes the need for surgical assistance, while allowing for safe and effective DAA performance, facilitating the procedure for high-volume surgeons and shortening the learning curve for surgeons new to the procedure.

Author Biographies

Daniel C Allison, Cedars-Sinai Medical Center Children's Hospital of Los Angeles University of Southern California

Assistant Professor, Department of Surgery, Cedars-Sinai Medical Center

Clinical Associate Professor, Department of Orthopedic Surgery, University of Southern California

Lawrence R Menendez, University of Southern California

Professor Emeritus, Department of Orthopedic Surgery, University of Southern California

William W Brien, Cedars-Sinai Medical Center

Professor, Vice Chairman of the Department of Surgery, Chairman of the Division of Orthopedic Surgery, Cedars-Sinai Medical Center

Timothy McTighe, Joint Implant Surgery & Research Foundation

Executive Director, Joint Implant Surgery & Research Foundation

References

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Published

2015-10-31

How to Cite

Allison, D. C., Menendez, L. R., Brien, W. W., & McTighe, T. (2015). “Table-less” and “Assistant-less” Direct Anterior Approach to Hip Arthroplasty. Reconstructive Review, 5(3). https://doi.org/10.15438/rr.5.3.122

Issue

Section

Original Article

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