The direct anterior approach (DAA) for total hip arthroplasty (THA) has gained popularity in recent years. Potential advantages over other surgical approaches include less postoperative pain, fewer postoperative precautions, and quicker early recovery. It is most commonly performed in the supine position with traction tables or table mounted bone hooks to facilitate exposure. In this study, we describe a reproducible surgical technique for DAA THA in the lateral decubitus position with use of standard THA equipment and report on our results and learning curve. A prospectively collected hip repository was queried for all primary THA DAA performed in the lateral position by a single surgeon over a 4-year period from the surgeon's first case utilizing the technique. Retrospective chart review was performed to identify complications and revisions. Modified Harris Hip Score (mHHS) was collected pre-operatively and again at 1-year post-operative. Radiographic parameters including were measured on the 1-year postoperative radiographs.Introduction
Methods
The purpose of the study was to determine access to and, ability to use telemedicine technology in an adult hip and knee reconstruction patient population and we seek to understand these patients' perceived benefits, risks and preferences of telemedicine. We performed a cross-sectional telephone administered survey on patients scheduled to undergo primary THA and TKA by one of six surgeons at a single academic institution between March 23 and June 2, 2020.Introduction
Methods