A posterior approach to the hip joint with complete posterior capsular and muscular repair

A posterior approach to the hip is described, which preserves the posterior hip capsule and short external rotators. These structures are reflected during exposure and are securely repaired to bone as a single capsulomuscular flap during wound closure. This approach has been used exclusively since December 1986 for uncomplicated primary hip arthroplasty. In 259 consecutive cases, there have been only two dislocations, both associated with significant trauma.