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. 2007 Aug;31 Suppl 1(Suppl 1):S13-5.
doi: 10.1007/s00264-007-0433-7.

Hip replacement by a minimal anterior approach

P Paillard  1
Affiliations

Hip replacement by a minimal anterior approach

P Paillard. Int Orthop. 2007 Aug.

Abstract

The mini-incision anterior approach in total hip replacement is not new, but uses a shorter incision than the traditional Hueter approach, typically only 6-8 cm in length. Despite its size, the single anterior incision allows good exposure. It is very atraumatic, preserves muscles and tendons, and allows the patient early mobilisation and fast postoperative recovery. Although, a special table (e.g., a Judet table) and specific tools (e.g., a curved reamer) are needed to perform hip replacement via the mini-anterior approach, any kind of hip prosthesis (cemented or uncemented) can be implanted. As there is a significant learning curve in mastering the mini-incision anterior approach, surgeons are advised to start with a longer incision and then to decrease its length with increasing experience.

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Figures

Fig. 1
Fig. 1
Judet-type orthopaedic table: Hana table, OSI, USA
Fig. 2
Fig. 2
The skin incision landmarks
Fig. 3
Fig. 3
After releasing the traction, the inferior limb is lowered and rotated 90° externally
See this image and copyright information in PMC

References

    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '12943337', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/12943337/'}]}
    2. DeWal H, Su E, DiCesare PE (2003) Instability following total hip arthroplasty. Am J Orthop 32:377–382 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1097/01.blo.0000194309.70518.cb', 'is_inner': False, 'url': 'https://doi.org/10.1097/01.blo.0000194309.70518.cb'}, {'type': 'PubMed', 'value': '16330993', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/16330993/'}]}
    2. Matta JM, Shahrdar C, Ferguson T (2005) Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clin Orthop 441:115–124 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '2245542', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/2245542/'}]}
    2. McCollum DE, Gray WJ (1990) Dislocation after total hip arthroplasty: causes and prevention. Clin Orthop 261:159–170 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '15422013', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15422013/'}]}
    2. Judet J, Judet R (1950) The use of an artificial femoral head for arthroplasty of the hip joint. J Bone Joint Surg 32B:166–173 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1097/01.blo.0000136651.21191.9f', 'is_inner': False, 'url': 'https://doi.org/10.1097/01.blo.0000136651.21191.9f'}, {'type': 'PubMed', 'value': '15346069', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15346069/'}]}
    2. Siguier T, Siguier M, Brumpt B (2004) Mini-incision anterior approach does not increase dislocation rate: a study of 1037 total hip replacements. Clin Orthop 426:164–173 - PubMed

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