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Surgical Approaches of the Hip

  • Eustathios Kenanidis
  • Dimitrios Rigkos
  • Georgios Paparoidamis
  • Aristotelis Yfantis
  • Zakareya Gamie
  • Eleftherios Tsiridis
  • Michael J. Feldstein
  • William Hozack
Chapter

Abstract

This approach exploits the intermuscular plane between the tensor fasciae latae (TFL) and the gluteus medius with partial or complete detachment of some or all of the abductor mechanism from greater trochanter [1]. There is no true internervous plane as both these muscles have a common nerve supply, the superior gluteal nerve [2]. The fascia lata is divided at the interval between the TFL and gluteus maximus, and then the tendon and muscle fibers of the gluteus medius are split with various techniques leaving a cuff of gluteus medius tendon for repair following the procedure [2, 3]. The gluteus minimus and joint capsule are split either in line with the neck of the femur or in line with the tendinous part of the gluteus minimus [1].

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Eustathios Kenanidis
    • 1
  • Dimitrios Rigkos
    • 1
  • Georgios Paparoidamis
    • 1
  • Aristotelis Yfantis
    • 1
  • Zakareya Gamie
    • 2
  • Eleftherios Tsiridis
    • 3
  • Michael J. Feldstein
    • 4
  • William Hozack
    • 5
  1. 1.Academic Orthopaedic UnitAristotle University Medical SchoolThessalonikiGreece
  2. 2.Northern Institute for Cancer Research, Paul O’Gorman Building, Medical SchoolNewcastle UniversityNewcastle upon TyneUK
  3. 3.Academic Orthopaedic UnitPapageorgiou General Hospital, Aristotle University Medical SchoolThessalonikiGreece
  4. 4.Kaiser PermananteOaklandUSA
  5. 5.Sidney Kimmel Medical School at Thomas Jefferson UniversityRothman Institute OrthopaedicsPhiladelphiaUSA

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