Abstract
For learning any new technique the main principle to follow is: learn the technique thoroughly from start to finish and adopt it as taught, without attempting to modify it until you are very familiar with it. Orthopaedic table enhanced anterior approach THA (ATHA) is at this point a well-established teachable and repeatable technique though its safety and efficacy depends on adherence to details. These technical details have evolved to become part of the technique since I first taught it at a course in 2003. The technical details and innovations have utilised the invaluable input from high volume expert surgeons as well as from less experienced surgeons taking on the challenges of learning.
Considering anterior approach (AA), three technical aspects can be a “mental block” for the uninitiated surgeon: 1) supine position, 2) the orthopaedic table, 3) checking cup position, leg length and offset with the image intensifier/C-arm. Keep in mind that though you may have been initially trained and experienced with lateral position, a flat table and no x-ray checks, these three technical aspects greatly facilitate Anterior Approach and enhance its repeatability, safety, accuracy and overall “ease of use”.
Anterior approach technical instruction is available at a number of venues and the preceding is consistent with the surgeon developed technique taught at courses. Visiting a surgeon who is expert in AA can also provide an effective supplemental educational experience.
