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International Orthopaedics

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Open Access 01-12-2020 | Incision | Original Paper

Postero-posterolateral approach in total hip arthroplasty

Author: Mokrane Ait Mokhtar

Published in: International Orthopaedics | Issue 12/2020

Abstract

Introduction

Evolving surgical techniques in total hip arthroplasty (THA) have sought to make the surgical procedures safer. This requires having highly reproducible incision landmarks and simplifying the procedures. The postero-posterolateral approach, a very posterior incision in the hip, meets those requirements. However, this has not helped to reduce the post-operative dislocation rate. The aim of this study was to assess the relevance of combining the postero-posterolateral approach and next-generation dual mobility cups (DMC) in terms of dislocation risk.

Materials and methods

One hundred and fifty-eight THA were performed consecutively using the postero-posterolateral approach on 150 patients, by a single surgeon, over a 49-month period (November 2010 to December 2014). All acetabular implants were impacted.

Results

Average length of the incision was 7 cm (6 to 9 cm). Mean duration of the surgical procedure was 75 minutes (40 to 100). Mean blood loss was estimated at 210 cc (25 to 410 cc). All patients could walk with assistance the day before transferring to a rehabilitation centre. There was one posterior dislocation (0.63%), without recurrence.

Conclusion

The straightforwardness and reproducibility of the anatomical landmarks used for the postero-posterolateral approach, added to the stability of the dual mobility cup, result in a safe combination in the therapeutic THA arsenal.

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Title: Postero-posterolateral approach in total hip arthroplasty
Author: Mokrane Ait Mokhtar
Publication date: 01-12-2020
Publisher: Springer Berlin Heidelberg
Keywords: Incision
Hip-TEP
Hip-TEP
Published in: International Orthopaedics / Issue 12/2020
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-020-04679-7

At a glance: The STEP trials

Springer Medicine

Postero-posterolateral approach in total hip arthroplasty

Abstract

Introduction

Materials and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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