Which hip replacement approach is best?

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.

What is a modified Hardinge approach?

The modified Hardinge anterolateral approach to total hip replacement allows the surgeon to access the hip joint by passing through the front of the hip and in between the hip muscles, rather than cutting through them.

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 are the different hip replacement approaches?

The most commonly used approaches for THA include posterior approach (PA), direct lateral approach (DLA), and direct anterior approach (DAA). This article highlights the history and technique for each of these approaches. A review of outcomes and complications for each approach are also provided.

What muscle is cut for hip replacement?

The posterior approach is traditionally the most common approach used to perform total hip replacement. In posterior hip replacement, the surgeon makes the hip incision at the back of the hip close to the buttocks. The incision is placed so the abductor muscles, the major walking muscles, are not cut.

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.

Is posterior hip replacement more painful than anterior?

There are fewer muscles in the front of the hip, which means less damage to major muscles. Because the surgery doesn’t require cutting major muscles, typically patients experience less pain after surgery and require less pain medication.

What are the advantages of the Watson Jones approach?

Most versions of the Watson-Jones anterolateral approach involve varying degrees of detachment of the abductor mechanism; however, abductor-sparing modifications have also been developed ( 5 ). The main advantage of this approach is a lower dislocation rate secondary to preservation of the posterior structures ( 6, 7, 8, 9 ).

What was the original Watson Jones approach to the hip?

The original Watson-Jones anterolateral approach to the hip, as popularized by Sir Reginald Watson-Jones in the 1930s, was described through the interval between the tensor fascia lata and the gluteus medius ( 1 ). Further modified by Charnley ( 2 ), Harris ( 3 ), and Muller…

What happens after the Hardinge approach to the hip?

Damage to the superior gluteal nerve after the Hardinge approach to the hip. The direct lateral approach to the hip for arthroplasty. Advantages and complications. Translateral surgical approach to the hip.

What is the Watson Jones approach to musculoskeletal surgery?

Further modified by Charnley ( 2 ), Harris ( 3 ), and Muller ( 4 ), this intermuscular interval allows for excellent exposure of the acetabulum and proximal femur for fracture surgery and arthroplasty, without the need for trochanteric osteotomy.