This research was initially carried out at the University of Liverpool, UK in 1981.This is a posterior trochanter spliting approach to the Hip Joint by maintaining all the advantages of the Posterior Approach with excellent visualization of the Hip Joint. This was then used in patients with a fracture neck femur for insertion of an endoprosthesis. The “word dislocation” has been looked as a unacceptable/inadequate/ banned as constituting a risk/ not acceptable to mention associated with mainly the Posterior Approach in Surgical Approaches to the Hip Joint over 5 decades. The DAA [Direct Anterior Approach] can be done on a plain table or a fracture table according to each Surgeons wishes. The anterior approach has a slight advantage when it comes to early recovery, no infection or dislocation and minimal degree of muscle damage. The younger generations of Orthopaedic Surgeons in the world should embrace the DAA [Direct Anterior Approach] even for the most commonly seen Fracture neck of femur initially instead of straight embarking on Primary or Revision Total Hip Arthroplasty. The DAA may appear to have a very steep and difficult learning curve in the beginning, but with practice and using this DAA,it appears as an excellent substitute for the Posterior Approach to the Hip Joint.
Keywords
Hip Joint; Trochanter; Endoprosthesis; Arthroplasty; Bipolar Hemiarthroplasty