Lateral Approach to the Pelvis and Hip
Lateral-based surgical approaches to the hip and pelvis are critical to treatment of both traumatic and developmental conditions of the adult hip. This chapter focuses on two lateral-based approaches that can treat a wide array of conditions: The Kocher-Langenbeck approach popularized by Judet and Letournel, and the safe surgical hip dislocation popularized by Ganz. The Kocher-Langenbeck approach has been described over 70 years ago but remains a workhorse approach for certain types of acetabular trauma. Ganz’ safe surgical hip dislocation has been described within the past 20 years but has been shown to be safe and effective in the treatment of both traumatic and developmental pathologies. Both approaches are technically challenging and require attention to detail, but with adequate study and practice can be mastered.
KeywordsKocher-Langenbeck Surgical hip dislocation Acetabular fracture Femoroacetabular impingement Trochanteric flip osteotomy
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