Review article
Anterolateral minimally invasive approach in hip arthroplasty with the patient in the supine position – a surgical technique
Gordan Gulan
orcid.org/0000-0003-1616-2904
; Clinic for Orthopaedic Surgery Lovran, Faculty of Medicine University of Rijeka, Rijeka, Croatia
Hari Jurdana
; Clinic for Orthopaedic Surgery Lovran, Faculty of Medicine University of Rijeka, Rijeka, Croatia
Marijan Mikačević
; Clinic for Orthopaedic Surgery Lovran, Faculty of Medicine University of Rijeka, Rijeka, Croatia
Andrej Zec
; Clinic for Orthopaedic Surgery Lovran, Faculty of Medicine University of Rijeka, Rijeka, Croatia
Hrvoje Mokrović
; Clinic for Orthopaedic Surgery Lovran, Faculty of Medicine University of Rijeka, Rijeka, Croatia
Zdravko Jotanović
; Clinic for Orthopaedic Surgery Lovran, Faculty of Medicine University of Rijeka, Rijeka, Croatia
Tomislav Prpić
; Clinic for Orthopaedic Surgery Lovran, Faculty of Medicine University of Rijeka, Rijeka, Croatia
Branko Šestan
; Clinic for Orthopaedic Surgery Lovran, Faculty of Medicine University of Rijeka, Rijeka, Croatia
Dalen Legović
; Clinic for Orthopaedic Surgery Lovran, Faculty of Medicine University of Rijeka, Rijeka, Croatia
Veljko Šantić
; Clinic for Orthopaedic Surgery Lovran, Faculty of Medicine University of Rijeka, Rijeka, Croatia
Abstract
In the past 60 years, primary THA has been one of the most successful and most performed orthopaedic procedure. Over the years, hip arthroplasty has changed, and research continues to improve its results. Better materials and design provide patients with an increased range of motion with enhanced stability and very low wear. In recent years, there have been a number of reports describing the performance of THA through smaller incisions using minimally invasive surgical techniques, aimed to spare the soft tissue, especially the abductor musculature. These techniques allow less post-operative pain, reduced blood loss, shorter hospitalization, better functional recovery and faster return to everyday routine. However, tissue sparing techniques can result in numerous complications related to the learning curve. Today four minimally invasive approaches have been described and many of their modifications. All of them are technically demanding, and may require specialized instruments and equipments. This article describes in detail the surgical technique of a minimally invasive anterolateral hip approach with patients in the supine position, including the preoperative setting, with pearls and tips based on the authors’ experience.
Keywords
arthroplasty; hip; minimally invasive surgery; technique
Hrčak ID:
135680
URI
Publication date:
2.3.2015.
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