Direct anterior approach total hip arthroplasty for Crowe III and IV dysplasia

High-dislocated hip dysplasia is challenging to treat with total hip arthroplasty via the direct anterior approach (DAA). The DAA has potential advantages including optimizing component positioning, enhanced hip stability, and a more rapid postoperative recovery. We present a surgical technique for...

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Detalles Bibliográficos
Autores principales: Liu, Zaiyang, Bell, Courtney D., Ong, Alvin C., Wu, Songtao, Li, Ziqiang, Zhang, Yuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Surgical Technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303477/
https://www.ncbi.nlm.nih.gov/pubmed/32577473
http://dx.doi.org/10.1016/j.artd.2020.02.008
Descripción
Sumario:High-dislocated hip dysplasia is challenging to treat with total hip arthroplasty via the direct anterior approach (DAA). The DAA has potential advantages including optimizing component positioning, enhanced hip stability, and a more rapid postoperative recovery. We present a surgical technique for DAA total hip arthroplasty for hip dysplasia that includes preoperative planning, soft tissue releases, subtrochanteric osteotomy, component placement, and intraoperative nerve monitoring and imaging. This technique provides detailed technical instructions, specifically including pearls and pitfalls, and complication prevention strategies.

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