Anterior approach to total hip replacement: surgical technique and clinical results of our first one thousand cases using non-cemented prostheses.
Total hip replacement has evolved into one of the most frequently performed reconstructive procedures in orthopaedic surgery today. A modified anterior approach developed by the senior surgeon has been utilized in performing over 3,000 operations in the past two decades. It is a unique and facile exposure. It can be easily applied to primary and revision surgery. Noncemented prostheses have been used in over 1,000 of these operations. This article details the surgical exposure, acetabular and femoral preparation for both non-cemented and cemented prostheses, special considerations for revision surgery, and the clinical results of the experience with noncemented prostheses to date.
Keggi
K J
KJ
Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut.
Huo
M H
MH
Zatorski
L E
LE
D001843:Bone Cements; D006622:Hip Prosthesis / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology; D011300:Preoperative Care; D011475:Prosthesis Failure; D012189:Retrospective Studies; D013923:Thromboembolism / Q000453:epidemiology / Q000209:etiology; D016896:Treatment Outcome
D001843:Bone Cements