The medial approach for total hip replacement

被引:0
作者
Thomas, W.
Lucente, L.
Benecke, P.
Busch, C. L.
Grundei, H.
机构
[1] Clin Quisisana, I-00197 Rome, Italy
[2] Kreiskrankenhauses, Chirurg Abt, Ratzeburg, Germany
[3] Fa Eska Implants, Lubeck, Germany
[4] Med Univ Lubeck, Inst Anat, D-23538 Lubeck, Germany
来源
ORTHOPADE | 2006年 / 35卷 / 07期
关键词
minimally invasive surgery; medial approach to the hip; minimally invasive approach to the hip; total hip replacement;
D O I
10.1007/s00132-006-0970-6
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background. In an anatomical study we investigated the medial approach to the hip joint and developed the surgical technique for patients with hip joint replacement. Material and methods. The temporary detachment of the adductor longus tendon allows a perfect exposure of the surgical site without risk of damaging important structures. Results. The operation is possible with normal instruments. The blood loss is little. Conclusion. The abductor apparatus (gluteal muscles and fascia lata) and the superior gluteal nerve remain intact. Immediate lateral positioning is allowed after surgery. The scar is unremarkable.
引用
收藏
页码:769 / 775
页数:7
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