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Updated: Aug 9, 2026
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
[Transgluteal mini-incision. Technique and our own results]
A Roth1, F Layher, R-A Venbrocks
1Lehrstuhl für Orthopädie, Orthopädische Klinik am Waldkrankenhaus Rudolf-Elle gGmbH Eisenberg, Friedrich-Schiller-Universität, Klosterlausnitzer Strasse 81, 07607, Eisenberg, Germany. ajroth@gmx.de
Background:
A transgluteal mini-incision technique according to the approach of Bauer et al. is described.
Material And Methods:
Altogether 194 patients were supplied with a cementless primary total hip endoprosthesis using this approach. Our own results regarding ASA, body mass index, operation time, transfusions, the course of the Hb values, and the use of drugs against pain are described.
Results:
The approach does not show any dependence on ASA and BMI. Operation time, blood loss, and use of drugs against pain are not influenced by it. Angled reamers and impactors are mandatory to prevent additional damage of soft tissue. The cosmetic benefit seems to be the only advantage. The approach cannot be recommended for general use.
