Surgery approaches

[Guest guest]

Someone asked what the different approaches were:

There are four approaches to the hip. These approaches take advantage of the

muscular planes surrounding the hip joint. The hip joint can be exposed as

follows:

1. The anterior approach - through the front.

2. The posterior approach - through the back.

3. The direct lateral approach or the anterolateral approach - through the side.

4. The medial approach - through the inner thigh, although this is rarely used

except for local procedures in this region.

There is usually a preference for a certain approach amongst hip surgeons but

there are times when a particular approach is indicated. The surgeon approaches

the hip a certain way to offer the best exposure which will provide a successful

outcome of the operation. The surgeon requires an exceptional three dimensional

perspective of the operating field.

Anterior approach

The anterior approach is rarely used when performing a total hip replacement as

the exposure of the socket is decreased and relatively poor for exposing the

thigh bone or femur. There is an increased incidence of new bone formation in

the surrounding soft tissue following this approach. Therefore this technique

does not offer any specific advantages as compared with the more common

approaches to the hip joint.

Anterolateral approach

The patient is positioned on the side and held by padded supports. The

anterolateral approach to the hip is the most commonly used approach for total

hip replacements. The approach combines excellent exposure both of the

acetabular socket and femur with the preservation of the posterior muscular

structures which are left undisturbed, thus providing increased stability of the

hip joint. Modifications of this approach have been described by numerous

authors but all approaches ultimately utilise the access through the

intermuscular plane in the front of the upper end of the thigh bone.

Direct lateral approach

The Direct Lateral approach via the upper end of the thigh bone, provides an

unparalleled view of the hip joint. The disadvantage is that the cut upper end

of the thigh bone requires reattachment after insertion of the hip prosthesis.

The posterior approach

The posterior approach is the second most common approach when performing a

total hip replacement. The advantage of this approach is that it allows access

to the hip and avoids disruption of the musculature attached to the upper end of

the thigh bone.

The patient is placed on the side with the pelvis supported both at the front

and back. The hip joint is approached behind the line of the thigh bone.

Rog BHR both hips 2001 Treacy

[Guest guest]

wow-

great info, roger.

jeff left desmet 3 months ago

p.s. is this info in the surfacehippy files archive?

Surgery approaches

Someone asked what the different approaches were:

There are four approaches to the hip. These approaches take advantage of the

muscular planes surrounding the hip joint. The hip joint can be exposed as

follows:

1. The anterior approach - through the front.

2. The posterior approach - through the back.

3. The direct lateral approach or the anterolateral approach - through the

side.

4. The medial approach - through the inner thigh, although this is rarely used

except for local procedures in this region.

There is usually a preference for a certain approach amongst hip surgeons but

there are times when a particular approach is indicated. The surgeon approaches

the hip a certain way to offer the best exposure which will provide a successful

outcome of the operation. The surgeon requires an exceptional three dimensional

perspective of the operating field.

Anterior approach

The anterior approach is rarely used when performing a total hip replacement

as the exposure of the socket is decreased and relatively poor for exposing the

thigh bone or femur. There is an increased incidence of new bone formation in

the surrounding soft tissue following this approach. Therefore this technique

does not offer any specific advantages as compared with the more common

approaches to the hip joint.

Anterolateral approach

The patient is positioned on the side and held by padded supports. The

anterolateral approach to the hip is the most commonly used approach for total

hip replacements. The approach combines excellent exposure both of the

acetabular socket and femur with the preservation of the posterior muscular

structures which are left undisturbed, thus providing increased stability of the

hip joint. Modifications of this approach have been described by numerous

authors but all approaches ultimately utilise the access through the

intermuscular plane in the front of the upper end of the thigh bone.

Direct lateral approach

The Direct Lateral approach via the upper end of the thigh bone, provides an

unparalleled view of the hip joint. The disadvantage is that the cut upper end

of the thigh bone requires reattachment after insertion of the hip prosthesis.

The posterior approach

The posterior approach is the second most common approach when performing a

total hip replacement. The advantage of this approach is that it allows access

to the hip and avoids disruption of the musculature attached to the upper end of

the thigh bone.

The patient is placed on the side with the pelvis supported both at the front

and back. The hip joint is approached behind the line of the thigh bone.

Rog BHR both hips 2001 Treacy

[Guest guest]

wow-

great info, roger.

jeff left desmet 3 months ago

p.s. is this info in the surfacehippy files archive?

Surgery approaches

Someone asked what the different approaches were:

There are four approaches to the hip. These approaches take advantage of the

muscular planes surrounding the hip joint. The hip joint can be exposed as

follows:

1. The anterior approach - through the front.

2. The posterior approach - through the back.

3. The direct lateral approach or the anterolateral approach - through the

side.

4. The medial approach - through the inner thigh, although this is rarely used

except for local procedures in this region.

There is usually a preference for a certain approach amongst hip surgeons but

there are times when a particular approach is indicated. The surgeon approaches

the hip a certain way to offer the best exposure which will provide a successful

outcome of the operation. The surgeon requires an exceptional three dimensional

perspective of the operating field.

Anterior approach

The anterior approach is rarely used when performing a total hip replacement

as the exposure of the socket is decreased and relatively poor for exposing the

thigh bone or femur. There is an increased incidence of new bone formation in

the surrounding soft tissue following this approach. Therefore this technique

does not offer any specific advantages as compared with the more common

approaches to the hip joint.

Anterolateral approach

The patient is positioned on the side and held by padded supports. The

anterolateral approach to the hip is the most commonly used approach for total

hip replacements. The approach combines excellent exposure both of the

acetabular socket and femur with the preservation of the posterior muscular

structures which are left undisturbed, thus providing increased stability of the

hip joint. Modifications of this approach have been described by numerous

authors but all approaches ultimately utilise the access through the

intermuscular plane in the front of the upper end of the thigh bone.

Direct lateral approach

The Direct Lateral approach via the upper end of the thigh bone, provides an

unparalleled view of the hip joint. The disadvantage is that the cut upper end

of the thigh bone requires reattachment after insertion of the hip prosthesis.

The posterior approach

The posterior approach is the second most common approach when performing a

total hip replacement. The advantage of this approach is that it allows access

to the hip and avoids disruption of the musculature attached to the upper end of

the thigh bone.

The patient is placed on the side with the pelvis supported both at the front

and back. The hip joint is approached behind the line of the thigh bone.

Rog BHR both hips 2001 Treacy