The medial approach to the hip joint for implantation of prostheses

Abstract

Having first tested the clinical applicability of a medial approach to the hip joint in an anatomical study on fresh, non-formalinized cadavers, since 2002 we have been using this route in an ever-increasing proportion of our patients. After temporary division of the tendon of the adductor longus muscle, the medial approach affords direct access to the joint and yields an excellent overview of the acetabular and femoral parts of the implantation site without endangering any important anatomical structures. The operation can be performed using standard instruments. The operating time is no longer than with the conventional methods, and blood loss is low. The abductor apparatus (gluteal muscles and fascia lata) remains intact, enabling rapid rehabilitation with stable gait and no risk of dislocation. The patient can lie on the affected side. The inconspicuous nature of the scar is greatly appreciated. © 2007 Springer Medizin Verlag Heidelberg.