The Direct Anterior Approach to the Hip

  • Hiran Amarasekera


Total hip arthroplasty has been one of the most successful orthopedic procedures over the past 30 years. Currently, several surgical approaches for hip arthroplasty have been defined; these include the anterior, lateral, and posterolateral approaches. In literature the advantages and disadvantages of each surgical approach have been documented and which approach will be chosen depends on the experience of the surgeon. This chapter focuses on anterior minimally invasive surgery (AMIS). This surgical approach follows an intermuscular and inter-nervous plane to reduce the risk of injury to muscles, tendons, vessels, and nerves. This review discusses the history, technique, tricks, and pitfalls of AMIS procedure that reduces anatomical invasiveness and blood loss and speeds up the functional recovery of the patient.


Hip replacement AMIS Anterior approach Minimally invasive hip surgery Hip-preservation surgery 



Figures and illustrations by: Dakshini Egodawatte MBBS (SAITM), Clinical demonstrator in Trauma and Orthopaedics Neville Fernando Teaching Hospital, Malabe, Sri Lanka.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Hiran Amarasekera
    • 1
    • 2
    • 3
  1. 1.Faculty Of MedicineUniversity of KelaniyaRagamaSri Lanka
  2. 2.University Hospitals of Coventry and WarwickshireCoventryUK
  3. 3.Warwick Medical SchoolCoventryUK

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