Rubin_The Direct Anterior Approach to Hip Reconstruction, 2e

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SECTION I Introduction

component insertion with the traction table and fluoros copy, he made the operation teachable and reproducible, which made it more palatable to arthroplasty surgeons. His highly influential 2005 publication described his technique and results from 437 cases, with a dislocation rate of 0.61%. 6 Dr. Matta’s focus on the fracture table also allowed surgeons to use intraoperative fluoroscopy more easily, which was a central tenet of that technique ( Figure 2.5 ). His continued focus on technology has also promoted the development and incorporation of various image guidance and navigation technologies. Richard A. Berger Dr. Richard A. Berger is a mechanical engineer and orthopedic surgeon who has made advances in anterior approach THA. He received his bachelor’s degree from the Massachusetts Institute of Technology, his medical doctorate from the Tufts School of Medicine, and res idency training from the University of Pittsburgh. He played a major role in instrument and implant develop ment and received the 2020 Washington Award from the Western Society of Engineers for his contributions to min imally invasive total joint arthroplasty instrumentation. 41 Berger’s 2003 article described a minimally invasive two-incision approach. He reported on his first 100 cases using this approach, and after 12 cases he devel oped an outpatient protocol. Of the remaining 88 cases, 85% went home the day of surgery. 42 Berger’s approach was challenging to perform and was not widely adopted in the United States. Ultimately, he became the first surgeon to perform over 11,000 outpatient total joint arthroplasty cases 41 and helped to usher in the modern era of outpatient arthroplasty. He described the new technique as follows: “This novel, minimally invasive, fluoroscopy-assisted, two-incision THA uses numerous new instruments that have been developed to facilitate exposure and component placement.” 42 Conclusion The DAA rests on a historical foundation built by Hueter, Halsted, Cushing, Smith-Peterson, Southwick, the Judets, Keggi, Matta, Berger, and countless others. Each surgeon is credited with unique contributions that has allowed for the development of the modern-day DAA. From these surgeons’ insights into anatomy, surgical technique, and instrumentation, countless numbers of patients have benefitted. Today, there are two surgeons in particular who have made strides in exploring the role of DAA for revision THA and extensile exposure. Professor Michael Nogler , an orthopedic surgeon from Austria, wrote a book on primary DAA THA in 2011. 43 He has also published influential articles on how the DAA can be applied in the setting of revision THA. 44 Dr. Kristoff Corten , an orthopedic surgeon from

Belgium, has published articles and teaching videos that have been instrumental to our understanding of extensile exposures with regard to the DAA. 45-47 The International Congress for Joint Reconstruction’s (ICJR) Annual DAA Course was founded in 2011, and now continues annually as the International Master’s Anterior Course from 2023 onwards. This course was founded by Drs. Stefan Kreuzer, Joel Matta, and Joseph Moskal . It was the first independent Continuing Medical Education course in the world to be run inde pendent of a single company and the first comprehensive course of its kind. As orthopedic surgeons continue to train in the years ahead and as instrumentation continues to improve, the DAA will continue to evolve in a way that will ultimately impact patient care worldwide. Postscript As we prepared this chapter, I was preparing for my chief residency at Yale. I reflected back on the generations of surgeons who have paved the way for the field. I had the privilege of learning the DAA with Dr. Lee E. Rubin, who was Dr. Keggi’s “final fellow.” Dr. Cushing’s col lection of neurosurgical specimens also rests in Yale’s Harvey Cushing/John Hay Whitney Medical Library, a testament to the generations of surgeons who have lent support to my own training. Their many contributions and innovations have allowed the DAA to serve a com mon goal of providing profound improvements in the quality of life of patients around the world. —David A. Molho. REFERENCES 1. Hueter C. Grundriss der Chirurgie . 2nd ed. FCW Vogel; 1883. 2. Smith-Petersen MN. A new new supra-articular subperiosteal approach to the hip joint. J Bone Joint Surg Am . 1917;S2-15(8): 592-595. 3. Charnley J. Arthroplasty of the hip. A new operation. Lancet . 1961;1(7187):1129-1132. 4. Light TR, Keggi KJ. Anterior approach to hip arthroplasty. Clin Orthop Relat Res . 1980;152:255-260. 5. Judet J, Judet H. Anterior approach in total hip arthroplasty. Presse Med . 1985;14(18):1031-1033. 6. Matta JM, Shahrdar C, Ferguson T. Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clin Orthop Relat Res . 2005;441:115-124. 7. Dr. Matta and Anterior Approach . 2017. https://www.thestead manclinic.com/news/dr-matta-and-anterior-approach

8. Rachbauer F, Kain MS, Leunig M. The history of the anterior approach to the hip. Orthop Clin North Am . 2009;40(3):311-320. 9. Smith-Petersen MN. Evolution of mould arthroplasty of the hip joint. J Bone Joint Surg Br . 1948;30B(1):59-75. 10. Hernigou P. Smith-Petersen and early development of hip arthroplasty. Int Orthop . 2014;38(1):193-198. 11. Callaghan JJ. The Adult Hip: Hip Arthroplasty Surgery . Wolters Kluwer; 2016. 12. Hospital Expects Godfrey . The Kingston Daily; 1953. 13. Imber G. Genius on the Edge, the Bizarre Double Life of Dr. William Stewart Halsted . Kaplan Publishing; 2011. Copyright © Wolters Kluwer, Inc. Unauthorized reproduction of the content is prohibited. 2024