Summary
A modified dorsal approach with osteotomy of a bone shell with the attached short external rotator muscles which are resutured, is described. The advantages have been less dislocations, less sciatic nerve injuries, and an increased operative access. There have been no disadvantages, as increased bleeding or periarticular calcification. The dorsal approach can be used for all conventional total hip arthroplasties and the reported modification seems to be an advantage.
Zusammenfassung
Ein modifizierter dorsaler Schnitt mit der Osteotomie eines Knochenspanes and den daran befestigten außenrotierenden Muskeln, welcher resuturiert wurde, wird beschrieben. Die Vorteile waren wenige Dislokationen and Nervus-ischiadicus-Verletzungen und ein verbesserter operativer Zugang. Nachteile wie vermehrte Blutung oder periartikuläre Verkalkung konnten nicht beobachtet werden. Die dorsale Schnittführung kann fur alle gebräuchlichen Totalendoprothesen angewendet werden, und die dargestellte Modifikation scheint einen Vorteil zu beinhalten.
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This work was supported by the Swedish Medical Research Council (Project no. B81-16X-D4776-07C) and Ture Carlsson Foundation
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Johnsson, R., Hallin, E., Nordström, B. et al. Modified technique in the dorsal approach in total hip arthroplasty. Arch. Orth. Traum. Surg. 99, 43–45 (1981). https://doi.org/10.1007/BF00400908
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DOI: https://doi.org/10.1007/BF00400908