Evolution and Experience with Minimally Invasive Anterior Total Hip Arthroplasty Performed on an Orthopedic Table

Total hip arthroplasty (THA) done using the anterior Smith-Petersen surgical approach is a true muscle-sparing approach that is less invasive than other methods of performing THA. When performed in the supine position on a modified orthopedic table, it obviates the need for a second incision for femoral stem insertion. Muscle and tendon preservation improves patient recovery and discourages hip dislocation. In our technique, fluoroscopic control ensures precise component placement and greater surgeon control over the procedure. Patients understand this technique and appreciate the practical advantages in terms of quicker recovery.