This instructional video describes what the bikini approach is, using the Direct Anterior Approach for total hip arthroplasty (THA), and gives a step by step description on how the incision is made and approach is done.
Minimally invasive total hip arthroplasty (THA) has gained in popularity in recent years. One of the approaches commonly used for this is the direct anterior approach (DAA). This video firstly discusses advantages and disadvantages of the different approaches to the hip referring to studies in the literature. Secondly it outlines the key steps of a DAA surgical procedure shown on cadaver specimen. As the classic longitudinal skin incision does not follow the anatomic skin creases and can result in scar widening we therefore modified our incision technique to a short oblique skin incision following the anatomic skin crease of the groin.
View all of our content on the anterior approach for hip arthroplasty