Abstract
Minimally invasive surgery (MIS) by the anterolateral approach is described in this chapter. This method is a muscle preserving modification of the conventional Watson-Jones approach [1]. A major problem with the conventional approach was that it involved detachment of abductors (gluteus minimus and often gluteus medius) from the greater trochanter. Although abductor detachment gave good exposure of the hip joint for THA, it often resulted in dislocations and permanent postoperative limping [2-4].
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Please make yourself familiar with the handling of the instruments, the product-related surgical technique and the warnings, the safety notes as well as the recommendations of the instruction leaflet before using an implant manufactured by Mathys Ltd Bettlach. Make use of the Mathys user training and proceed according to the recommended surgical technique.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Watson-Jones R (1936) Fractures of the neck of the femur. Br J Surg 23:787-808
Kwon MS, Kuskowski M, Mulhall KJ, Macaulay W, Brown TE, Saleh KJ (2006) Does surgical approach affect total hip arthroplasty dislocation rates? Clin Orthop Relat Res 447:34-38
Meek RM, Allan DB, McPhillips G, Kerr L, Howie CR (2006) Epidemiology of dislocation after total hip arthroplasty. Clin Orthop Relat Res 447:9-18
Honl M, Dierk O, Gauck C, Carrero V, Lampe F, Dries S, et al (2003) Comparison of robotic-assisted and manual implantation of a primary total hip replacement. A prospective study. J Bone Joint Surg Am 85-A:1470-1478
Bertin KC, Rottinger H (2004) Anterolateral mini-incision hip replacement surgery: a modified Watson-Jones approach. Clin Orthop Relat Res 248-255
Paprosky WG, Burnett RS (2002) Assessment and classification of bone stock deficiency in revision total hip arthroplasty. Am J Orthop 31:459-464
Eisler T, Svensson O, Iyer V, Wejkner B, Schmalholz A, Larsson H, et al (2000) Revision total hip arthroplasty using third-generation cementing technique. J Arthroplasty 15:974-981
Goldberg BA, Al-Habbal G, Noble PC, Liebs TD, Tullos HS (1996) Performance of fourth generation cemented femoral components: a critical analysis. In: American Academy of Orthopaedic Surgeons 63rd Annual Meeting; 1996 February 22nd-27th, 1996; Atlanta, Georgia
Murphy SB, Tannast M (2006) Conventional vs minimally invasive total hip arthroplasty: A prospective study of rehabilitation and complications. Orthopade 35:761-768
Rachbauer F, Nogler M (2004) Direct anterior approach. In: Hozack WJ, Krismer M, Nogler M (eds) Minimally invasive total joint arthroplasty. Springer, pp 29-32
Rachbauer F, Nogler M, Mayr E, Krismer M (2004) Minimally invasive single-incision anterior approach for total hip arthroplasty. In: Hozack WJ, Krismer M, Nogler M (eds) Minimally invasive total joint arthroplasty. Springer, pp 54-59
Rachbauer F (2005) Minimally invasive total hip arthroplasty via direct anterior approach. Orthopade 34:1103-4, 1106-8, 1110
Straumann D (2006) Cost-benefit analysis of MIS THA: model-based analysis of the consequences for Switzerland. Hip International 16:S54-S57
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Siebert, W. (2010). The Anterolateral Approach with the Patient in Lateral Position. In: Pfeil, J., Siebert, W. (eds) Minimally Invasive Surgery in Total Hip Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00897-9_6
Download citation
DOI: https://doi.org/10.1007/978-3-642-00897-9_6
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-00896-2
Online ISBN: 978-3-642-00897-9
eBook Packages: MedicineMedicine (R0)