[Total hip arthroplasty using the Hardinge approach. Clinical results in 63 cases].
The recently described Hardinge approach is currently widely used for implanting total hip prostheses. It is characterized by a dissociation of the fibers of the mid-gluteal, of which the anterior fibers remain continuous with the vastus lateralis. To assess the functional impact, a series of 63 prostheses implanted with the Hardinge approach was compared with an identical series performed with the posterior approach. Results show a lower frequency of dislocation with the Hardinge approach, but also a 33 p. cent residual functional deficiency of the mid-gluteal at one year, compared with 17 p. cent with the posterior approach. A modification of the technique is proposed to limit this phenomenon.
Pascarel
X
X
Service d'Orthopédie-Traumatologie, Hôpital Pellegrin-Tripode, Bordeaux.
Dumont
D
D
Nehme
B
B
Dudreuilh
J P
JP
Honton
J L
JL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002081:Buttocks / Q000294:innervation; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology; D008297:Male; D008875:Middle Aged
Arthroplastie totale de hanche par voie de Hardinge. Résultat clinique de 63 cas.