Nerve Injuries with the Direct Anterior Approach to Total Hip Arthroplasty.

JBJS Rev · Feb 2020 · Review

Vajapey SP, Morris J, Lynch D, Spitzer A, Li M, Glassman AH

Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus

Adult Reconstruction

SUMMARY — THE REDUCTIONThis review notes that the direct anterior approach to total hip arthroplasty, like all approaches, carries a small nerve injury risk, and that identifying and mitigating risk factors is key to reducing it.
Abstract, as published

* While no single approach for total hip arthroplasty (THA) has been proven to be superior to others in terms of patient outcomes, the direct anterior approach (DAA) is becoming increasingly popular. * All of the described techniques for THA carry a small risk of nerve injury. * Identifying risk factors for nerve injury and mitigating these risks where feasible are imperative in order to reduce the incidence of this complication with any approach for THA.

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