Hip replacement by a minimal anterior approach.
The mini-incision anterior approach in total hip replacement is not new, but uses a shorter incision than the traditional Hueter approach, typically only 6-8 cm in length. Despite its size, the single anterior incision allows good exposure. It is very atraumatic, preserves muscles and tendons, and allows the patient early mobilisation and fast postoperative recovery. Although, a special table (e.g., a Judet table) and specific tools (e.g., a curved reamer) are needed to perform hip replacement via the mini-anterior approach, any kind of hip prosthesis (cemented or uncemented) can be implanted. As there is a significant learning curve in mastering the mini-incision anterior approach, surgeons are advised to start with a longer incision and then to decrease its length with increasing experience.
Clinique des Lilas, 41-49 avenue du Marechal Juin, 93260 Les Lilas, France. Philippe.paillard@mac.com
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D019644:Arthroplasty, Replacement, Hip / Q000193:education / Q000295:instrumentation / Q000379:methods*; D002983:Clinical Competence; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000193:education / Q000295:instrumentation / Q000379:methods; D009985:Orthopedics / Q000193:education / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control; D020127:Recovery of Function