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The Modified Hardinge Approach to Hip Hemiarthroplasty: An Alternative in High-Risk Patients
Aaron Beck1, Alec Winzenried, Matthew Beilfuss
1Department of Orthopedic Surgery, University of Wisconsin, Madison, WI.
Journal of Orthopaedic Trauma
|July 17, 2026
Summary
This review presents a novel hemiarthroplasty surgical technique for high-risk patients. It utilizes a direct lateral approach, offering a potentially safer alternative for complex hip replacements.
Area of Science:
- Orthopedic Surgery
- Surgical Techniques
Background:
- Hemiarthroplasty is a common procedure for hip fractures.
- High-risk patients often present unique surgical challenges.
Purpose of the Study:
- To describe an alternative hemiarthroplasty technique.
- To evaluate its suitability for high-risk patient populations.
Main Methods:
- A direct lateral surgical approach is detailed.
- The technique involves dissection through the gluteus medius and vastus lateralis.
Main Results:
- The described approach offers an alternative for hemiarthroplasty.
- It is specifically tailored for high-risk individuals.
Conclusions:
- This alternative hemiarthroplasty technique provides a viable option.
- The direct lateral approach through specific muscles is key for high-risk patients.
