The direct anterior approach: First among equals-Affirms

The recent resurgence of the anterior approach to total hip arthroplasty has made it a controversial topic. While technically demanding, the direct anterior approach can be rewarding to both the patient and the surgeon when properly performed. The direct anterior approach is a true intra-nervous approach to the hip allowing for surgeon to deploy minimally invasive techniques and soft tissue handling. This article highlights the senior author's experience with the direct anterior approach and reviews the recent literature on post operative rehabilitation, muscle strength, muscle atrophy, and complications in the direct anterior approach to total hip arthroplasty.