The Value of the Direct Anterior Approach in Salvage Procedures
When Dr. Gathorne Girdlestone pioneered hip resection surgery, he stated unequivocally that the procedure could not be done by an anterior approach.
Lee Rubin, MD, begs to differ: The direct anterior approach is a powerful surgical tool, he says, and is not just for primary total hip arthroplasty (THA).
Dr. Rubin practices at Brown University Medical Center in Providence, Rhode Island, and as a surgeon at a tertiary care hospital, he needs to have options other than THA for some of the complex and challenging patients he manages.
The direct anterior approach, in his hands, is a good option for patients who are not candidates for THA but who would benefit from hip resection arthroplasty, such as those with severe osteoarthritis and a neuromuscular disease.
Click the image above to hear Dr. Rubin’s thoughts on utilizing the direct anterior approach for hip resection arthroplasty and hip salvage procedures.
Producer and Director: Michael Bugera; Post Production: Charles J. Maynard