Lateral Hip Replacement Incision

First described by mcfarland and osborne 1 in 1954 the direct lateral approach to the hip was popularized by hardinge.

Lateral hip replacement incision.

It involves accessing the hip joint through an incision made close to the buttocks. Since about 1980 it s become more common. This approach provides doctors with a good view of the hip capsule allowing for optimum placement of implants. Some surgeons will use 2 incisions both the anterior and superior approach.

Incision for direct anterior approach anteroposterior and lateral radiographs of the hip in a prospective randomized study researchers at mayo clinic in rochester minnesota found that mayo clinic patients who underwent daa had objectively faster recovery than patients who had mpa hip arthroplasty. This approach is performed by reflecting the anterior portion of the gluteus medius and the vastus lateralis as a sleeve to expose the hip joint. Again the primary advantage with this surgical exposure is the balance of being a versatile incision that can be used to perform not only a typical straightforward hip replacement but also to correct deformities and insert specialized implants. 2 it is an extensile approach to the hip and can be utilized for many procedures including hemiarthroplasty hip resurfacing arthroplasty total hip arthroplasty tha and revision hip arthroplasty.

Hip replacements can be preformed through a direct anterior approach an anterior lateral approach a lateral approach a posterior approach and a superior approach.