Lateral Approach Hip Replacement

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Lateral approach hip replacement. For arthroplasty a lateral decubitus position is usually chosen. The approaches are posterior moore or southern lateral hardinge or liverpool antero lateral watson jones anterior smith petersen and greater trochanter osteotomy. The approach requires elevation of the hip abductors gluteus medius and gluteus minimus to access the joint. First described by mcfarland and osborne 1 in 1954 the direct lateral approach to the hip was popularized by hardinge.

The abductors may be lifted up by osteotomy of the greater trochanter and reapplying it afterwards using wires. Even and uneven surfaces stairs c. The posterolateral approach to the hip may be done with the patient in lateral decubitus or prone positions. 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 different incisions used in a hip replacement surgery are all defined by their relation to the musculature of the hip. 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. Oct 2012 general goals.

The lateral approach is also commonly used for hip replacement. In the lateral approach to hip replacement surgery the hip abductors are elevated to provide access to the joint. The one they chose to use on you will depend on their training their experience their personal preferences and on your condition. Total hip arthroplasty lateral approach rehab protocol last revision.

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. Weightbearing status determined by surgeon. 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. Independent with ambulation with assistive devices as needed a.

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. However the lateral approach requires cutting through large muscles. Obq09 256 in a modified hardinge lateral approach to the hip what structure limits the proximal extent of the gluteus medius split. Independent with exercises b.

3069 type select correct answer. Short term week 1 a.