The Direct Anterior Approach is a very commonly used surgical approach for performing total hip replacements because of the low risk of instability and quicker recovery, as well as optimized placement of the implant due to the patient lying on his/her back. However, recent studies have found a higher risk of wound issues, such as dehiscence, superficial infections, and in some cases, deep infections, as well as lateral femoral cutaneous nerve neuropraxia (LFCN).
The traditional incision used for this approach is a longitudinal incision that does not follow the tension lines of the skin. This incision technique exposes the wound to abdominal folds, which can harbor bacteria. In order to minimize these risks and improve the cosmetic appearance of the healing incision, some surgeons have started using the bikini or transverse incision, which follows along the groin cleavage line.
With initial reports showing no increased risk of complications and improved perception of scars by patients who have the bikini/transverse incision, this study will compare the clinical outcomes, cosmetics, and safety of the two incisions. The Anterior PATH surgical approach uses the bikini/transverse incision and MicroPort Orthopedics PATH implants.