Total Hip Arthroplasty by Direct Anterior Approach (Hueter)

Abstract

Introduction: Hip arthroplasty is a successful treatment in orthopedics. The direct anterior approach, through the Hueter interval, avoids dissection of muscle attachments to the bone and causes less disruption of the soft tissues around the hip. Purpose: To show the results of primary total hip arthroplasties, performed by direct anterior approach. Methods: Descriptive-prospective study, case series type, with patients operated on for hip osteoarthritis, who underwent primary uncemented total hip arthroplasty through a direct anterior approach between September 2019 and March 2021 and one-year follow-up. Results: Predominance of the female sex in a ratio of 2 to 1, age groups between 45 and 60 years with no difference in the location of the operated hip. Low body mass index and low anesthetic risk. Surgical time greater than two hours, with little surgical bleeding, the placement of the acetabular and femoral component was adequate and allowed walking in less than three postoperative days with such hospitalization time. Incidence of low and infrequent complications, resolved with adequate treatment. The pain went from a mean of 9 in the preoperative period to a 2 in the postoperative period, the "Harris hip score" varied from a mean of 60 (bad) to one of 87 (good close to excellent). Conclusions: The use of the direct anterior approach for primary total hip arthroplasties offers very satisfactory results valued as good.