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D019644. MedlinePlus. 002975. [edit on Wikidata] Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant, that is, a hip prosthesis. [1] Hip replacement surgery can be performed as a total replacement or a hemi/semi (half) replacement.
Posterior dislocations is when the femoral head lies posteriorly after dislocation. [5] It is the most common pattern of dislocation accounting for 90% of hip dislocations, [5] and those with an associated fracture are categorized by the Thompson and Epstein classification system, the Stewart and Milford classification system, and the Pipkin system (when associated with femoral head fractures).
Hip replacement surgery can be performed from three main directions, each with advantages and disadvantages The classical approach is the posterior, and requires dissection of the gluteus maximus and other large muscles of the back of the thigh to access the acetabulum.
Incisions for hip resurfacing (posterior approach) have been well documented to stretch in excess of 20 cm in length. Hip resurfacing has been described as a more complicated procedure in comparison to hip replacement , and the operative technique described by Derek McMinn FRCS Ed, for posterior hip resurfacing shows operative incision similar ...
The sciatic nerve, also called the ischiadic nerve, is a large nerve in humans and other vertebrate animals. It is the largest branch of the sacral plexus and runs alongside the hip joint and down the lower limb. It is the longest and widest single nerve in the human body, going from the top of the leg to the foot on the posterior aspect.
The posterior approach is the most common and practical of those used to expose the hip joint. The posterior approaches allow excellent visualization of the femoral shaft, thus are popular for revision joint replacement surgery in cases in which the femoral component needs to be replaced.
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