Centro de Ortopedia y Traumatología. Centro Médico ABC Santa Fe. Ciudad de México. México.
Acta Ortop Mex. 2023 Nov-Dec;37(6):361-367.
The direct anterior approach (DAA) for total hip arthroplasty has been popularized in the last decade as a minimally invasive approach used by many surgeons, including the authors, to preserve the integrity of muscle groups and their insertions and the dynamic hip stability resulting in less surgical trauma and faster recovery process with decreased postoperative pain. This surgical approach is not without a variety of complications and pitfalls. This review aims to identify any potential drawbacks and challenges associated with the DAA in THA and guide surgeons on minimizing and avoiding them.
直接前入路（DAA）在过去十年中已广泛应用于全髋关节置换术，许多外科医生（包括作者）采用这种微创入路来保留肌肉群及其插入部位的完整性和髋关节的动态稳定性，从而减少手术创伤，加快术后康复过程，减轻术后疼痛。这种手术入路并非没有各种并发症和陷阱。本综述旨在确定 DAA 在 THA 中可能存在的缺点和挑战，并指导外科医生最小化和避免这些问题。
