Lateral Incision Hip Replacement

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.

Lateral incision hip replacement. 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. Understanding anterior hip replacement. Anterior hip replacement is not a new surgery. During surgery your doctor makes an incision in the front of your hip to reach the hip joint.

The incision is made behind the hip avoiding the major walking muscles. People undergoing a lateral approach are positioned on their side and the surgical incision goes directly down the outside of the hip. Posterior hip replacement surgery helps to regain the normal function and stability of the hip joint in patients with arthritis. The approaches are posterior moore or southern lateral hardinge or liverpool antero lateral watson jones anterior smith petersen and greater trochanter osteotomy.

The different incisions used in a hip replacement surgery are all defined by their relation to the musculature of the hip. 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. For arthroplasty a lateral decubitus position is usually chosen. Longitudinal incision centered over tip of greater trochanter and extends down the line of the femur about 8cm.

The posterolateral approach to the hip may be done with the patient in lateral decubitus or prone positions. Each approach has advantages and disadvantages. Posterior hip replacement is the most common approach to total hip replacement surgery. Some surgeons will use 2 incisions both the anterior and superior approach.

Hip replacements can be preformed through a direct anterior approach an anterior lateral approach a lateral approach a posterior approach and a superior approach. Then they replace the joint with. First described by mcfarland and osborne 1 in 1954 the direct lateral approach to the hip was popularized by hardinge. In a modified hardinge lateral approach to the hip what structure limits the proximal extent of the gluteus medius split.

Anterior hip replacement is a common type of total hip replacement.