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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.
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
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.
The anterior approach accesses the hip joint from the front, with less large muscle dissection but due to the proximity of the femoral artery, corresponding vein, and main nerve bundle for the leg lying just medial to the acetabulum the surgeon must exercise caution and maintain suitable landmarks.
Approaches to surgical reductions include the posterior approach for posterior dislocations (Kocher-Langenbeck), and the anterior (Smith-Petersen) approach for anterior dislocations. A CT scan or Judet views should be obtained prior to transfer to the surgical suite. Rehabilitation
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.
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