The abductors may be lifted up by osteotomy of the greater trochanter and reapplying it afterwards using wires.
Lateral approach hip replacement.
The approach requires elevation of the hip abductors gluteus medius and gluteus minimus to access the joint.
The lateral approach to hip replacement surgery is similar to the anterior approach be cause the patient can be positioned on their back.
Total hip arthroplasty lateral approach rehab protocol last revision.
The different incisions used in a hip replacement surgery are all defined by their relation to the musculature of the hip.
Obq09 256 in a modified hardinge lateral approach to the hip what structure limits the proximal extent of the gluteus medius split.
In the lateral approach to hip replacement surgery the hip abductors are elevated to provide access to the joint.
The lateral approach is also commonly used for hip replacement.
People undergoing a lateral approach are positioned on their side and the surgical incision goes directly down the outside of the hip.
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However the lateral approach requires cutting through large muscles.
2 it is an extensile approach to the hip and can be utilized for many procedures including hemiarthroplasty hip resurfacing arthroplasty total hip arthroplasty tha and revision hip arthroplasty.
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Oct 2012 general goals.
First described by mcfarland and osborne 1 in 1954 the direct lateral approach to the hip was popularized by hardinge.
For arthroplasty a lateral decubitus position is usually chosen.
The one they chose to use on you will depend on their training their experience their personal preferences and on your condition.
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Weightbearing status determined by surgeon.
The approaches are posterior moore or southern lateral hardinge or liverpool antero lateral watson jones anterior smith petersen and greater trochanter osteotomy.
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This approach is performed by reflecting the anterior portion.
Hip replacement approaches anterior posterior lateral minimally invasive different types of hip replacement approaches are favoured by different surgeons.
Again the primary advantage with this surgical exposure is the balance of being a versatile incision that can be used to perform not only a typical straightforward hip replacement but also to correct deformities and insert specialized implants.
In the short term anterior hip replacement is less painful and leads to a quicker recovery of mobility and strength compared to a posterior or lateral approach.
The long term outcome is very good.