Avoiding and Treating Complications After Direct Anterior Approach THA

    Even when a surgeon thinks a primary total hip arthroplasty (THA) has gone well, the patient can develop a complication leading to a revision procedure. Between 2012 and 2019, nearly 60,000 revision THAs were performed by surgeons contributing data to the American Joint Replacement Registry, with the most common reasons for revision being: [1]

    • Infection
    • Instability
    • Aseptic loosening
    • Mechanical complications
    • Fracture
    • Hematoma or wound complication

    At ICJR’s 8th Annual Direct Anterior Approach Hip Course, faculty members shared their best advice – grounded in the evidence and their considerable experience – on how to avoid these complications and how to treat them if they occur.

    Click the images below to watch the presentations and hear what they had to say.

    Incision and Wound Complications
    Hari P. Bezwada, MD

    Lateral Femoral Cutaneous Nerve Injury and Neuropraxia
    Lee E. Rubin, MD

    Periprosthetic Fracture in THA – Acetabulum
    Theodore T. Manson, MD

    Instability – Management and Prevention of Dislocations in DAA THA
    Timothy P. Lovell, MD

    Leg Length/Offset Inequality in Total Hip Arthroplasty
    Raymond H. Kim, MD

    Psoas Tendon Pain Following DAA Total Hip Arthroplasty
    Anthony S. Unger, MD

    Managing Infection with the Anterior Approach
    Michael Nogler, MD, MA, MSc


    1. American Joint Replacement Registry (AJRR): 2020 Annual Report. Rosemont, IL: American Academy of Orthopaedic Surgeons (AAOS), 2020