What is direct anterior approach?
Direct anterior hip replacement is a minimally invasive surgical technique. This approach involves a 3 to 4 inch incision on the front of the hip that allows the joint to be replaced by moving muscles aside along their natural tissue planes, without detaching any tendons.
What is anterior approach?
The anterior approach is an approach to the front of the hip joint as opposed to a lateral (side) approach to the hip or posterior (back) approach. It is a true anterior approach to the hip and should not be confused with the Harding approach which is often referred to as an anterior approach.
What is anterolateral approach?
The anterolateral approach to the proximal femur, through the interval between the gluteus medius and minimus muscles and tensor fascia lata, provides access to the hip joint and the lateral proximal femur. This approach is adequate for fracture fixation and application of a plate onto the lateral aspect of the femur.
What muscle interval is utilized in the direct anterior approach?
Surface anatomy for the direct anterior approach. A 6-8 cm oblique incision is typically used by the authors. This incision may be extended proximally and distally as needed along the Smith-Petersen interval for adequate femoral and acetabular exposure.
When is hip resurfacing appropriate?
You might need hip resurfacing if you have significant damage to your hip joint. Different types of medical conditions can damage this joint, like: Osteoarthritis (most common) Rheumatoid arthritis.
What is the difference between anterior and posterior hip precautions?
With an anterior approach, you are pushing the muscles to the side and not really cutting through any tendons or any muscles in order to access the hip. For the posterior approach, there are some muscles that you do need to detach in order to get down to the hip joint itself.
What does the word anterolateral mean?
: situated or occurring in front and to the side.
What is the recovery time for anterior hip replacement?
Total recovery time for an anterior approach is approximately four weeks which is about half of the time it takes with a traditional approach.
What muscles do they cut for anterior hip replacement?
First, the surgeon cuts the fascia lata, a wide piece of fibrous soft tissue at the top of the outer thigh, and the large gluteus maximus muscle that attaches to it. Next, the surgeon must cut the external rotators of the hip, which are small, short muscles that connect the top of the femur to the pelvis.
Can you run after hip resurfacing?
While the results suggest that a return to running is possible after hip resurfacing, the study did not look at the long-term effects of wear on the implant. Other studies have found that patients can maintain a high level of activity for 10 to 20 years after surgery.
What is the newest procedure for hip replacement?
The latest advanced technology, a percutaneously-assisted “SUPERPATH™” approach, involves sparing the surrounding muscles and tendons when performing total hip replacement surgery. This technique builds a traditional hip implant in-place without cutting any muscles or tendons.
Which approach is best for hip replacement?
The posterior approach to total hip replacement is the most commonly used method and allows the surgeon excellent visibility of the joint, more precise placement of implants and is minimally invasive.