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Surgical approaches to total hip arthroplasty
Daniel Kelmanovich1, Michael L Parks, Raj Sinha
1College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Journal of the Southern Orthopaedic Association
|July 29, 2003
Summary
This article details five classic hip surgical approaches and newer mini-incision techniques. These methods provide adequate surgical exposure for trauma, infection, and reconstruction.
Area of Science:
- Orthopedic Surgery
- Surgical Anatomy
Background:
- Hip surgery requires adequate exposure for various procedures.
- Multiple surgical approaches exist for accessing the hip joint.
Purpose of the Study:
- To describe classic and modern surgical approaches to the hip.
- To provide a detailed overview of hip access techniques.
Main Methods:
- Detailed description of five classic hip approaches: Smith-Petersen (anterior), Watson-Jones (anterolateral), Hardinge (direct lateral), transtrochanteric, and posterolateral.
- Outline of recently described mini-incision posterior and anterior approaches.
Main Results:
- Classic approaches provide adequate surgical exposure for hip trauma, infection, and reconstruction.
- Mini-incision techniques offer alternative, less invasive options.
Conclusions:
- A variety of surgical approaches are available for hip access.
- Understanding these approaches is crucial for successful hip surgery.