SURGICAL PEARLS: Why Patient Selection Is Important in the DAA Learning Curve

    The learning curve for direct anterior approach total hip arthroplasty is well known, with proficiency generally achieved after 40 to 60 cases. [1]

    Part of that learning curve is patient selection. In a presentation from the 8th Annual Direct Anterior Approach Hip Course, Timothy P. Lovell, MD, from Providence Orthopedics & Sports Medicine in Spokane, Washington, discusses which patients the surgeon should consider for the direct anterior approach early in the learning curve versus patients who would be more appropriate for later in the surgeon’s transition to the direct anterior approach.

    Click the image above to watch Dr. Lovell’s presentation.

    Disclosures: Dr. Lovell has no disclosures relevant to this presentation.


    1. Stone AH, Sibia US, Atkinson R, Turner TR, King PJ. Evaluation of the learning curve when transitioning from posterolateral to direct anterior hip arthroplasty: a consecutive series of 1000 cases. J Arthroplasty. 2018 Aug;33(8):2530-2534. doi: 10.1016/j.arth.2018.02.086. Epub 2018 Mar 8.