[The medial approach for total hip replacement].
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.


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.


CONCLUSIONS
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.
Thomas
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W
Clinica Quisisana, Via Gian Giacomo Porro n. 5, I-OO197, Roma, Italy. Thomas_hip@hotmail.com
Lucente
L
L
Benecke
P
P
Busch
C L
CL
Grundei
H
H