Femoral Head Sizing and Guide Placement in Hueter Anterior Approach Hip Resurfacing: A Surgical Technique

Hip resurfacing (HR) preserves the proximal femur in young and active patients as well as providing excellent survivorship. There is a growing interest with the Hueter anterior approach (HAA) allowing to preserve the blood supply to the femoral head as well as limiting soft tissue dissection. Surgical technique for HAA HR differs mainly from posterior HR as the superior neck is not visible making current guides impractical. As such, the fovea capitis is highlighted as a key anatomic landmark for femoral pin placement when performing HR through HAA. The purpose of this article is to describe the surgical technique for femoral head sizing and rationale for using the fovea capitis for HR using HAA.