A transgluteal approach-Back to the future

Minimally invasive approaches to total hip arthroplasty have received much attention from both the lay press as well as the orthopaedic community. The potential for enhanced recovery and improved pain control in the perioperative period are in high demand from patients. We present a transgluteal approach to total hip arthroplasty as an alternative to the direct anterior approach that has the potential to maintain all of the possible benefits of a soft tissue sparing approach with a lower risk profile.