Rubin_The Direct Anterior Approach to Hip Reconstruction, 2e

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A Definitive History of the Direct Anterior Approach David A. Molho, Neil Pathak, Lee E. Rubin, and Kristaps J. Keggi

order is provided in Table 2.1 . Since then, the DAA has gained popularity among surgeons and patients. The lit erature and surgical tools continue to expand and make DAA more accessible, although the rationale behind its success was described over a century ago by Carl Hueter. The advantages of the anterior oblique approach are: (1) Only one muscle, the vastus, is injured; for this reason the leg keeps its tight connections to the pelvis, which facilitates rehabilitation. (2) Bleeding is so little that no single ligature has to be done. 1 Carl Hueter (1838-1882) Carl Hueter was born in Marburg, Germany, in 1838. In Marburg, his father was a practicing gynecologist. Hueter began medical school at the age of 16 years in 1854. Early in his career, he served as an apprentice to both Virchow and Langenbeck and later worked at the Anatomic Institute in Paris (1861-1863) where he studied orthopedic anatomy. 8 His extensive study ultimately led to

Introduction We explore the motivations that drew surgeons and patients to the direct anterior approach (DAA). We begin with Carl Hueter’s 1881 description 1 and then delve into how the surgical principles of William Stewart Halsted and Harvey Williams Cushing influenced the devel opment of the DAA. Publications by Marius Nygaard Smith-Petersen in the early 20th century described his motivations for using this approach. 2 Using a transtro chanteric approach in the 1960s, Sir John Charnley 3 made major advances in total hip arthroplasty (THA). By 1980, Kristaps Keggi published on the DAA for THA. 4 In 1985, Jean Judet published work on the DAA in THA using a specialized fracture table. 5 This technique was then transmitted to Emile Letournel, who, in turn, trained Joel Matta. Matta helped make a specialized frac ture table commercially available, taught surgeons to use it for DAA THA, and published on this topic in 2005. 6,7 A list of key historical DAA THA articles in chronological

TABLE 2.1 Illustrative Table on History of Landmark Publications Related to Direct Anterior Approach Total Hip Arthroplasty Year Author(s) Title Journal/publisher/meeting 1883 Hueter Grundriss der Chirurgie , 2nd edition FCW Vogel 1917 Smith-Petersen A new supra-articular subperiosteal approach to the hip joint J Bone Joint Surg Am 1977 Keggi & Light The anterior approach to total hip replacement American Academy of Orthopaedic Surgeons Annual Meeting 1980 Light & Keggi Anterior approach to total hip replacement Clin Orthop Relat Res 1985 Judet & Judet Anterior approach in total hip arthroplasty Press Med 1993 Keggi et al Anterior approach to total hip replacement: surgical technique and clinical results of our first one thousand cases using non-cemented prostheses Yale J Biol Med 2003 Kennon et al Total hip arthroplasty through a minimally invasive anterior surgi cal approach J Bone Joint Surg Am 2004 Kennon et al Anterior approach for total hip arthroplasty: beyond the mini mally invasive technique J Bone Joint Surg Am 2005 Matta et al Single-incision anterior approach for total hip arthroplasty on an orthopedic table Clin Orthop Relat Res 2009 Berend et al Enhanced early outcomes with the anterior supine intermuscular approach in primary total hip arthroplasty J Bone Joint Surg Am 2012 Nogler et al The direct anterior approach to the hip revision Oper Orthop Traumatol 2016 Bal et al The direct anterior approach to hip reconstruction SLACK Incorporated Copyright © Wolters Kluwer, Inc. Unauthorized reproduction of the content is prohibited. 2024

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