José A Rodriguez1, Eli Kamara1, H John Cooper2. 1. Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY. 2. Department of Orthopaedic Surgery, Columbia University, New York, NY.
Abstract
INTRODUCTION: Study of the anterior anatomy of the hip reveals specific aspects that are crucial to success in performing both the surgical approach to the hip and mobilization of the femur. In this article, we present the relevant anatomy and our operative technique. STEP 1 THE ANTERIOR ANATOMY OF THE HIP VIDEO 1: Review the anatomy of the hip as it relates to the surgical technique as doing so is essential to understanding the surgical technique6. STEP 2 APPROACH TO THE ANTERIOR ASPECT OF THE HIP VIDEO 2: Review the surgical approach to the hip. STEP 3 RELEASE OF THE CAPSULE VIDEO 3: In the first step of femoral mobilization, release the superior-posterior capsule. STEP 4 RELEASE OF THE CONJOINED TENDON AND PIRIFORMIS FLIP VIDEO 4: If sufficient elevation of the femur is not achieved with release of the capsule, perform rotator visualization and serial release. RESULTS: Our prospective, nonrandomized study compared DAA THA using our technique for femoral mobilization with the posterior approach THA12.
INTRODUCTION: Study of the anterior anatomy of the hip reveals specific aspects that are crucial to success in performing both the surgical approach to the hip and mobilization of the femur. In this article, we present the relevant anatomy and our operative technique. STEP 1 THE ANTERIOR ANATOMY OF THE HIP VIDEO 1: Review the anatomy of the hip as it relates to the surgical technique as doing so is essential to understanding the surgical technique6. STEP 2 APPROACH TO THE ANTERIOR ASPECT OF THE HIP VIDEO 2: Review the surgical approach to the hip. STEP 3 RELEASE OF THE CAPSULE VIDEO 3: In the first step of femoral mobilization, release the superior-posterior capsule. STEP 4 RELEASE OF THE CONJOINED TENDON AND PIRIFORMIS FLIP VIDEO 4: If sufficient elevation of the femur is not achieved with release of the capsule, perform rotator visualization and serial release. RESULTS: Our prospective, nonrandomized study compared DAA THA using our technique for femoral mobilization with the posterior approach THA12.
Authors: Parthiv A Rathod; Karl F Orishimo; Ian J Kremenic; Ajit J Deshmukh; José A Rodriguez Journal: J Arthroplasty Date: 2013-12-02 Impact factor: 4.757
Authors: Diana Rudin; Mirjana Manestar; Oliver Ullrich; Johannes Erhardt; Karl Grob Journal: J Bone Joint Surg Am Date: 2016-04-06 Impact factor: 5.284
Authors: José A Rodriguez; Ajit J Deshmukh; Parthiv A Rathod; Michelle L Greiz; Prashant P Deshmane; Matthew S Hepinstall; Amar S Ranawat Journal: Clin Orthop Relat Res Date: 2014-02 Impact factor: 4.176