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An anterior approach seems to lower dislocation rates when small diameter heads are used, but that benefit has not been shown when compared to modern posterior incisions with the use of larger diameter heads.
Approaches to surgical reductions include the posterior approach for posterior dislocations (Kocher-Langenbeck), and the anterior (Smith-Petersen) approach for anterior dislocations. [4] [5] [28] A CT scan or Judet views should be obtained prior to transfer to the surgical suite.
The modified posterior MIS approach to hip resurfacing and total hip arthroplasty (hip replacement) displays a host of advantages to the patient: Less post-operative pain; Less soft tissue damage and pressure on muscle fibres. Shorter hospital stay; Lower blood loss; Smaller incision; Quicker return to work and functional activities
Two common anterior approaches are typically used both with the patient lying supine: The anterior longitudinal approach: the probe is aligned along the long axis of the femoral neck. The needle is introduced from an anteroinferior approach and is passed into the anterior joint recess at the femoral head-neck junction.
In radiography the presence of a "crossover sign" is produced when the posterior wall of the acetabulum crosses the anterior wall before reaching the acetabular roof. It is a sign of acetabular retroversion and it has been linked with overcoverage and pincer impingement.
Anterior lumbar interbody fusion (ALIF) – the disc is accessed from an anterior abdominal incision. Posterior lumbar interbody fusion (PLIF) – the disc is accessed from a posterior incision. Transforaminal lumbar interbody fusion (TLIF) – the disc is accessed from a posterior incision on one side of the spine.