Direct Lateral Approach to the Hip

Chapter Synopsis

The direct lateral or transgluteal approach for total hip arthroplasty (THA) is used by clinicians worldwide. Clinical outcomes and potential complications are similar to those for other surgical approaches to the hip joint.

Important Points

• Primary and straightforward revision THAs can be accomplished with a direct lateral approach.

Clinical/Surgical Pearls

• Surgery may be performed with the patient in the supine or lateral position.

• The posterior capsular tissues are usually preserved.