From Two Incisions to One: The Technique of Minimally Invasive Total Hip Arthroplasty with the Anterior Approach

The author describes a procedure derived from two-incision minimally invasive total hip arthroplasty in which both the femoral and acetabular components are implanted through one incision placed on the anterior thigh. Outcomes of this operation in terms of patient acceptance, reduced pain and disability, and rapid return to function make it ideal for routine primary THA. Proper learning of this procedure should include a thorough familiarity with the anatomy of the anterior and lateral thigh, practice with cadaver dissection, and training with an experienced surgeon to learn, recognize, and avoid the pitfalls that can accompany any new surgical procedure.