Lateral Incision Hip Replacement

Some surgeons will use 2 incisions both the anterior and superior approach.

Lateral incision hip replacement.

The posterolateral approach to the hip may be done with the patient in lateral decubitus or prone positions. Posterior hip replacement is the most common approach to total hip replacement surgery. The incision is made behind the hip avoiding the major walking muscles. First described by mcfarland and osborne 1 in 1954 the direct lateral approach to the hip was popularized by hardinge.

During surgery your doctor makes an incision in the front of your hip to reach the hip joint. Then they replace the joint with. Anterior hip replacement is not a new surgery. Many surgeons have performed hip replacements through an anterior incision for decades.

Anterior hip replacement is a common type of total hip replacement. People undergoing a lateral approach are positioned on their side and the surgical incision goes directly down the outside of the hip. The approaches are posterior moore or southern lateral hardinge or liverpool antero lateral watson jones anterior smith petersen and greater trochanter osteotomy. Longitudinal incision centered over tip of greater trochanter and extends down the line of the femur about 8cm.

Understanding anterior hip replacement. This approach is performed by reflecting the anterior portion. In fact the most widely referenced report of this technique was published in 1980. 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.

Posterior hip replacement surgery helps to regain the normal function and stability of the hip joint in patients with arthritis. In a modified hardinge lateral approach to the hip what structure limits the proximal extent of the gluteus medius split. The approach is essentially the same as the kocher langenbeck but exposure is limited to the hip joint respecting but not displaying the sciatic nerve. For arthroplasty a lateral decubitus position is usually chosen.

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.