Related Experiment Video
Updated: May 13, 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
Simple no-hands retraction for a lateral approach to the proximal femur
Peter D Fabricant1, Grant D Shifflett, Peteris E Dzenis
1Hospital for Special Surgery, New York, NY 10021, USA. fabricantp@ hss.edu
Abstract:
A simple technique allows orthopedic surgeons to perform no-hands retraction for a lateral approach to the proximal femur during fixation of an intertrochanteric fracture with a sliding hip screw. All instruments remain sterile and within 6 inches of the surgical wound during the procedure. Use of this technique is particularly valuable in the event that a surgeon is operating with only 1 surgical assistant, who may not be able to provide adequate assistance with retraction while concurrently preparing surgical instruments.
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