Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Surgical approach, abductor function, and total hip arthroplasty dislocation.

John L Masonis1, Robert B Bourne

  • 1London Health Sciences Center, University of Western Ontario, London, Ontario, Canada. John.Masonis@millerclinic.com

Clinical Orthopaedics and Related Research
|December 4, 2002
PubMed
Summary

The direct lateral approach for total hip arthroplasty shows a lower dislocation rate than the posterior approach. More research is needed to confirm benefits for abductor function.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A Randomized Controlled Trial to Compare a Mobile Bearing Cementless and Cemented Unicompartmental Knee: Results of an Investigational Device Exemption Study in the United States.

The Journal of arthroplasty·2026
Same author

Anterior capsulectomy versus repair in direct anterior total hip arthroplasty.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie·2023
Same author

Total Hip Arthroplasty in Patients With Severe Chronic Pubic Diastasis.

Arthroplasty today·2022
Same author

Results of the First U.S. FDA-Approved Hip Resurfacing Device at 10-Year Follow-up.

The Journal of bone and joint surgery. American volume·2021
Same author

Acetabular Exposure Is Enhanced With Self-Retaining Retractors During Direct Anterior Total Hip Arthroplasty.

Orthopedics·2020
Same author

Anatomic Total Hip Component Position Is More Reproducible With the Direct Anterior Approach Using Intraoperative Fluoroscopy.

Arthroplasty today·2020

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Dislocation is a significant early complication following total hip arthroplasty (THA).
  • The influence of surgical approach on THA instability and abductor function remains a subject of debate.

Purpose of the Study:

  • To conduct a comprehensive literature review evaluating the correlation between surgical approach and primary THA dislocation.
  • To assess the impact of different surgical approaches on dislocation rates and postoperative abductor function.

Main Methods:

  • A literature search identified 260 clinical studies from 1970 to 2001.
  • Fourteen studies, encompassing 13,203 primary THAs, met inclusion criteria for analysis of dislocation rates.
  • Eight studies involving 2455 primary THAs were reviewed for postoperative limp incidence.

Related Experiment Videos

Main Results:

  • The direct lateral approach demonstrated the lowest dislocation rate (0.55%).
  • The posterior approach had a higher dislocation rate (3.23%), with variations based on repair (2.03% with repair, 3.95% without).
  • Postoperative limp incidence varied: 4%-20% for lateral approaches and 0%-16% for posterior approaches.

Conclusions:

  • The current literature quality regarding surgical approach, dislocation, and abductor function is limited.
  • Larger, controlled prospective studies are necessary to definitively compare the posterior and direct lateral approaches for primary THA.