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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2021, Number 2

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An Med Asoc Med Hosp ABC 2021; 66 (2)

Modified direct anterior approach in hip surgery with minimally invasive surgery technique and the use of a special table: technique description

Fernández PLJ, Diego BD, González PR

Language: Spanish
References: 19
Page: 104-109
PDF size: 287.26 Kb.


ABSTRACT

The anterior approach in hip replacement surgery preserves the integrity of muscle groups and their insertions, facilitating a more rapid recovery process and minimization of postoperative complications. This approach has been popularized during the last two decades and recently performed by more surgeons around the world. We present the minimally invasive technique with a special table used and in which some steps of the original anterior approach have been modified as a capsulotomy instead of a capsulectomy, and the femoral neck osteotomy done in situ. The use of the Hana® or the Medacta® table for leg positioning permits an adecuate traction and rotation control during the procedure. We describe the reduced need of special retractors and the use of a modified Charnley retractor for exposure. The advantages of the anterior approach are: less recovery time, lower postoperative pain, better patient satisfaction and an correct prosthetic component position. This review describes several aspects regarding the modified anterior approach for hip replacement used by the senior authors for the last three years.


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