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The Direct Anterior Approach to the Hip

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General Principles of Orthopedics and Trauma

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Abstract

Total hip arthroplasty has been one of the most successful orthopedic procedures over the past 30 years. Currently, several surgical approaches for hip arthroplasty have been defined; these include the anterior, lateral, and posterolateral approaches. In literature the advantages and disadvantages of each surgical approach have been documented and which approach will be chosen depends on the experience of the surgeon. This chapter focuses on anterior minimally invasive surgery (AMIS). This surgical approach follows an intermuscular and inter-nervous plane to reduce the risk of injury to muscles, tendons, vessels, and nerves. This review discusses the history, technique, tricks, and pitfalls of AMIS procedure that reduces anatomical invasiveness and blood loss and speeds up the functional recovery of the patient.

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Acknowledgement

Figures and illustrations by: Dakshini Egodawatte MBBS (SAITM), Clinical demonstrator in Trauma and Orthopaedics Neville Fernando Teaching Hospital, Malabe, Sri Lanka.

Author information

Authors and Affiliations

  1. Faculty Of Medicine, University of Kelaniya, Ragama, Sri Lanka

    Hiran Amarasekera

  2. University Hospitals of Coventry and Warwickshire, Coventry, UK

    Hiran Amarasekera

  3. Warwick Medical School, Coventry, UK

    Hiran Amarasekera

Authors
  1. Hiran Amarasekera
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Editor information

Editors and Affiliations

  1. Formerly Locum Consultant Orthopaedic Surgeon, Royal Free Hampstead NHS trust, Royal Free Hospital, London, UK

    K. Mohan Iyer

  2. Division of Trauma and Orthopaedic Surgery, Addenbrooke’s Hospital, University of Cambridge, Cambridge, Cambridgeshire, UK

    Wasim S. Khan

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Amarasekera, H. (2019). The Direct Anterior Approach to the Hip. In: Iyer, K., Khan, W. (eds) General Principles of Orthopedics and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-15089-1_29

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  • DOI: https://doi.org/10.1007/978-3-030-15089-1_29

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-15088-4

  • Online ISBN: 978-3-030-15089-1

  • eBook Packages: MedicineMedicine (R0)

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