The mini-incision anterior approach in total hip replacement is not new, but uses a shorter incision than the traditional Hueter approach, typically only 6–8 cm in length. Despite its size, the single anterior incision allows good exposure. It is very atraumatic, preserves muscles and tendons, and allows the patient early mobilisation and fast postoperative recovery. Although, a special table (e.g., a Judet table) and specific tools (e.g., a curved reamer) are needed to perform hip replacement via the mini-anterior approach, any kind of hip prosthesis (cemented or uncemented) can be implanted. As there is a significant learning curve in mastering the mini-incision anterior approach, surgeons are advised to start with a longer incision and then to decrease its length with increasing experience.
DeWal H, Su E, DiCesare PE (2003) Instability following total hip arthroplasty. Am J Orthop 32:377–382PubMedGoogle Scholar
Matta JM, Shahrdar C, Ferguson T (2005) Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clin Orthop 441:115–124PubMedCrossRefGoogle Scholar
McCollum DE, Gray WJ (1990) Dislocation after total hip arthroplasty: causes and prevention. Clin Orthop 261:159–170PubMedGoogle Scholar
Judet J, Judet R (1950) The use of an artificial femoral head for arthroplasty of the hip joint. J Bone Joint Surg 32B:166–173Google Scholar
Siguier T, Siguier M, Brumpt B (2004) Mini-incision anterior approach does not increase dislocation rate: a study of 1037 total hip replacements. Clin Orthop 426:164–173PubMedCrossRefGoogle Scholar
Smith-Petersen MN (1949) Approach to and exposure of the hip joint for mold arthroplasty. J Bone Joint Surg AM 31-A:40Google Scholar
Vicar AJ, Coleman CR (1984) A comaprison of the anterolateral, transtrochanteric, and posterior surgical approaches in primary total hip arthroplasty. Clin Orthop Relat Res 188:152–159PubMedGoogle Scholar