[Total hip arthroplasty through anterior "minimal invasive" approach].
Total hip replacement has seen a tremendous development and has become one of the most successful surgical interventions in orthopaedics. While during the first decades of development of total hip arthroplasty the fixation of the implant into the bone was the main concern, the focus has shifted towards surgical technique and soft tissue handling. In order to avoid permanent soft tissue damage, muscular dysfunction and concerns in regards to cosmetics, minimal invasive and anatomic approaches have been developed. We here provide a short overview on various methods of total hip replacements and we describe our technique through a minimal invasive direct anterior approach. While muscle and nerve damage is minimal, this technique allows for a rapid rehabilitation and is associated with an excellent functional outcome and a minimal risk for dislocation.
Service d'orthopédie et traumatologie, Département de l'appareil locomoteur, CHUV, 1011 Lausanne. kevin.moerenhout@chuv.ch
Kevin G
KG
Moerenhout
Stéphane
S
Cherix
Hannes A
HA
Rüdiger
D019644:Arthroplasty, Replacement, Hip / Q000191:economics / Q000266:history / Q000379:methods* / Q000639:trends; D003362:Cost-Benefit Analysis; D005270:Femur Head / Q000601:surgery; D006621:Hip Joint / Q000601:surgery; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000191:economics / Q000379:methods*; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control