1. I have something new on Anterior total hip that I have been doing that your readers might be interested in. As you may know the usual incision is longitudinal and in the front of the thigh. It is quite visible and not very cosmetic as it sticks out below the level of a bathing suit. I have been using the Anterior Bikini approach. The incision is buried in the natural skin crease where the leg joins the hip. Flex your hip and you will see where it is and why it is so cosmetic. Obviously it is not for everyone, but in the right patient it is quite satisfying. As an example, I have a patient who used to model. Appearances for her are quite important. The incision has blended in to her natural lines and to all intents and purposes is not visible.
2. For Anterior approach, at this point I mostly use the Zimmer ML taper stem. As you may know different companies have different ideas about how long the neck should be on the stem. This in turn affects how long or short the whole leg can be. As you know I have a pretty high demand crowd. My leg lengths are within 3-4mm of equal- an undetectable difference and very important to people to have equal leg lengths. The Zimmer M-L taper has been the most useful to me in this regard, though I am looking at some other designs.
Information about Dr. Stuchin:
Dr. Steven A. Stuchin
Director of Orthopaedic Surgery
NYU Hospital for Joint Diseases
301 East 17th Street
New York, NY 100003
Phone 212 598 6709
Dr. Stuchin’s Website