Approaches (Subscribe)  

The direct anterior approach is one of the minimally invasive techniques used in hip replacement surgery. Continuing orthopaedic experience suggests that this procedure may offer several advantages over the more traditional surgical approaches to hip replacement.1 Traditional hip replacement techniques involve operating from the side (lateral) or the back (posterior) of... Commercial

Journal of the Anatomical Society of India Vol. 50, No. 1 (2001-01 - 2001-06) Author(s): Patnaik, V.V.G., Singla, Rajan, K., Gupta, P.N.
Here, we have made an attempt to delineate various incisions for exposing different bones & joints of lower limb along with important anatomical landmarks to be taken care while...

The subject of acetabular fracture surgery has been dealt with at length in the literature. Almost forty years after the first publications by Robert Judet and Emile Letournel, much has been written on either side of the Atlantic; however, there is nothing new in the New World or the Old. Large studies...

Indication Difficult acetabular fractures with anterior displacement in which access to the entire anterior column is required. This approach allows access to the anterior column as far as the symphysis and includes the quadrilateral plate. Most both-column fractures can also be managed through this approach, but only if the posterior fragment is...

Background Exposure of the anterior or lateral lumbar via the retroperitoneal approach easily causes injuries to the lumbar plexus. Lumbar plexus injuries which occur during anterior or transpsoas lumbar spine exposure and placement of instruments have been reported. This study aims is to provide more anatomical data and surgical landmarks in...

Discussion:
- with plate fixation of the humerus, the anterior approach is preferred for proximal and mid-diaphyseal frx w/ application of plate to anterolateral aspect of the humerus (see humeral shaft fractures);
-...

Illustrated notes on indications and alternatives, positioning, instruments, superficial and deep dissection, transection of subscapularis, capsulotomy & distal exposure
Wheeless' Textbook of Orthopaedics

Indications:
* Repair of lacerations to the median nerve, brachial artery, radial nerve and biceps tendon.
* Reinsertion of the biceps tendon.
* Release of post traumatic anterior capsular contractions.
* Excision of tumor.

Indication
Synovial biopsies.
Intraarticular fusions.
Total hip replacement / Hemiarthroplasty.
Excision of tumors, especially of the pelvis.
Osteotomies using the upper part of the approach.
Open reduction of congenital dislocations of the hip when the dislocated femoral head lies anterosuperior to the true acetabulum.
Disadvantage
Does not expose the acetabulum as completely.

Detailed description of the anterior approach to the humerus

- Smith Petersen improved & revived the anterior iliofemoral approach;
- entire ilium and hip joint can be reached thru iliac part of incision;
- with this approach there is a need for extensive detachment of tendinous insertions & retraction of muscle, with ...

Indication :
* Surgery of the capitulum (ORIF,aseptic necrosis).
* Drainage of infection from the elbow joint.
* neural compressions involving:
1. PIN syndrome.
2....

Indications
Total hip replacement / Hemiarthroplasty.
Open reduction and internal fixation of femoral neck fractures.
Synovial biopsy of the hip / Biopsy of the femoral neck.
Advantages
An excellent exposure of the acetabulum with safety during reaming of the femoral shaft.

Discussion: - major problems with the Watson Jones technique are dealing w/ gluteus medius & minimus, which lie over anteior capsule and must be damaged or cut to obtain adequate exposure; - original Charnely technique...

Index to comprehensive notes on approximately 70 surgical approaches