The Anterior Approach by Dr. Matta
Anterior Approach: Total Hip Replacement
MINIMIZING THE TIME FROM REPLACEMENT TO RECOVERY
Though still uncommonly used in the United States, the popularity of the anterior approach for total hip replacement is rapidly growing because of its definite advantages for patients, even those in need of bilateral procedures. Rehabilitation is simplified and accelerated, dislocation risk is reduced, leg length is more accurately controlled, and the incision is small.
Why, then, is this approach not more widely used by U.S. surgeons? There are several reasons: lack of familiarity, traditional teaching, and lack of the necessary instrumentation and equipment. The anterior approach is especially facilitated by the HANA and PROfx operating tables. The unique functions of these tables enhance access to the hip through this small, soft tissue preserving incision.
The anterior approach is an approach to the front of the hip joint as opposed to a lateral (side) approach to the hip or posterior (back) approach. This anterior approach follows the lower half of the interval of the Smith-Peterson approach, making it a true anterior approach to the hip. It should not be confused with the Harding approach, which is often referred to as an anterior approach, but involves a lateral incision.
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