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Updated: Feb 14, 2026
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
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MODIFIED ANTEROLATERAL SURGICAL APPROACH IN TOTAL HIP REPLACEMENT
M Zimlitski1, L Natchkebia1, G Loria1
1LLC Medical Center "MediClubGeorgia", Tbilisi, Georgia; LLC SofieMedGroup, Aktau, Kazakhstan.
Georgian Medical News
|February 21, 2018
Summary
This study compared two hip surgery approaches in obese patients. The modified anterolateral approach, featuring hip flexion and an oblique skin incision, proved easier to perform and safer for implants.
Area of Science:
- Orthopedic Surgery
- Surgical Techniques
Background:
- Obesity (BMI > 30) presents surgical challenges in hip arthroplasty.
- Traditional surgical approaches may be difficult in patients with higher BMI.
Purpose of the Study:
- To compare the classic Watson Jones anterolateral approach with a modified anterolateral approach.
- To evaluate the efficacy and ease of use of the modified approach in obese patients.
Main Methods:
- Retrospective study of 412 obese patients (BMI > 30) undergoing hip arthroplasty.
- Comparison between classic Watson Jones and a modified anterolateral approach (used in 78% of cases).
- All surgeries performed in supine position by a single surgeon using uncemented Zimmer-Biomet implants.
Main Results:
- The modified approach involved hip flexion, partial gluteus medius detachment, and an oblique skin incision.
- These modifications were found to make the procedure easier.
- The oblique incision protected the skin from potential damage during femoral rasping.
Conclusions:
- The modified anterolateral approach offers significant advantages in terms of ease of performance and patient safety.
- Hip flexion and oblique skin incision are key beneficial modifications for hip arthroplasty in obese patients.
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