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. MATERIAL AND 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. CONCLUSION: 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.
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. MATERIAL AND 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. CONCLUSION: 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.