Hip resurfacing and anterior approach

Abstract:

Conceptually, resurfacing arthroplasty is less invasive for the bones than classical prosthetic replacement surgery.

Combination of such resurfacing surgery with a surgical approach, also non-invasive, is a logical option: the Hueter's anterior access that has been utilized in prosthetic surgery by Robert and Jean Judet for more than 50 years and developed as a mini-invasive procedure by Marc Siguier and other surgeons is suitable for resurfacing for the following reasons:

– anatomical reasons: best exposure of the femoral head and neck, and of the acetabulum;

– anterior approach and dislocation do not compromise posterior vascular contribution in the femoral head and neck.

The technique of resurfacing prosthetic implantation by anterior access on an orthopaedic table is described, and important points are specified.

The results of a preliminary series of 61 patients having undergone this surgery between 2002 and 2004 are prospectively analyzed. In all patients except two, outcomes were clinically and radiologically good or excellent, with all targeted implantation criteria adequately met.

The authors are still using the technique of resurfacing prosthesis implantation; their excellent results make them recommend the mini invasive anterior access and the use of an orthopaedic operating table.