Anterior Approach in THA Improves Outcomes by Joseph T. Moskal, MD 2011

Read Complete Presentation Here:

September 2011

…In 2009, a study comparing the direct anterior approach and the mini-posterior approach for THA was conducted. One hundred ninety-five THAs (182 consecutive patients) were performed by a single, highly experienced surgeon. The results demonstrated more rapid recovery of hip function and gait ability after THAs performed through an anterior approach as compared to a mini-posterior approach…

…There was no difference( in the complication rates compared to the posterior approach)…

…So, in 2009, I began using the direct anterior approach and now use it in 97% of my primary THAs. Frequently, I hear from staff members, caregivers, and patients that the difference in recovery between the direct anterior approach and other commonly used surgical approaches for THA is night and day…

…Because the direct anterior approach is a muscle-sparing approach, and the tensor fascia lata, which is the deltoid mechanism of the hip, is not violated. Also, the pelvic stabilizers, made up of the gluteus maximus and tensor fascia with insertion on the iliotibial band, remain undisturbed…

Joseph T. Moskal, M.D.
Anterior Approach
Clinic Performs 1100 Anterior Surgeries a Year
3 Riverside Circle
Roanoke, VA
Phone: 540-725-1226
Website: Carilion Clinic Orthopaedics – Riverside