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Le vie chirurgiche conservative: anca

Conservative surgical approaches: the hip

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LO SCALPELLO-OTODI Educational

Abstract

The most common conservative approaches to the hip joint are the anterior, the Ganz safe surgical dislocation and the medial approach. The anatomy of these approaches is described in detail in this review. Each approach is also evaluated considering the surgical conservative indications, technique, and complications.

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Bibliografia

  1. Rachbauer F, Kain MS, Leunig M (2009) The history of the anterior approach to the hip. Orthop Clin N Am 40(3):311–320

    Article  Google Scholar 

  2. Matta JM, Shahrdar C, Ferguson T (2005) Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clin Orthop Relat Res 441:115–124

    Article  PubMed  Google Scholar 

  3. Bender B, Nogler M, Hozack WJ (2009) Direct anterior approach for total hip arthroplasty. Orthop Clin N Am 40(3):321–328

    Article  Google Scholar 

  4. Bhargava T, Goytia RN, Jones LC, Hungerford MW (2010) Lateral femoral cutaneous nerve impairment after direct anterior approach for total hip arthroplasty. Orthopedics 33(7):472

    PubMed  Google Scholar 

  5. Nho S, Leunig M, Kelly B et al. (2014) Hip arthroscopy and hip joint preservation surgery. Springer, Berlin, Heidelberg, New York

    Google Scholar 

  6. Leunig M, Faas M, von Knoch F, Naal FD (2013) Skin crease “bikini” incision for anterior approach total hip arthroplasty: surgical technique and preliminary results. Clin Orthop 471(7):2245–2252

    Article  PubMed  PubMed Central  Google Scholar 

  7. Barton C, Kim PR (2009) Complications of the direct anterior approach for total hip arthroplasty. Orthop Clin N Am 40(3):371–375

    Article  Google Scholar 

  8. Beck M, Puloski S, Leunig M et al. (2005) Surgical dislocation of the adult hip. A technique for the treatment of articular pathology of the hip. Semin Arthroplast 16(1):38–44

    Article  Google Scholar 

  9. Ellis TJ, Beck M (2004) Trochanteric osteotomy for acetabular fractures and proximal femur fractures. Orthop Clin N Am 35(4):457–461

    Article  Google Scholar 

  10. Ganz R, Gill TJ, Gautier E et al. (2001) Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Jt Surg Br 83(8):1119–1124

    Article  CAS  Google Scholar 

  11. Letournel E, Judet R (1993) Fractures of the acetabulum, 2nd edn. Springer, Berlin, Heidelberg, New York, pp 364–373

    Book  Google Scholar 

  12. Noetzli H, Siebenrock KA, Hempfing A et al. (2002) Monitoring of femoral head perfusion during surgical dislocation of the hip by laser Doppler flowmetry. J Bone Jt Surg Br 84:556–560

    Article  Google Scholar 

  13. Gill TJ, Sledge JB, Ekkernkamp A, Ganz R (1998) Intraoperative assessment of femoral head vascularity after femoral neck fracture. J Orthop Traumatol 12:474–478

    CAS  Google Scholar 

  14. Gautier E, Ganz K, Kreugel N et al. (2000) Anatomy of the medial femoral circumflex artery and its surgical implications. J Bone Jt Surg Br 82(5):679–683

    Article  CAS  Google Scholar 

  15. Ludloff K (1908) Zur Blutigen einrenkung derangeborenen hutfluxation. Z Orthop Chir 22:272

    Google Scholar 

  16. Ferguson AB Jr (1973) Primary open reduction of congenital dislocation of the hip using a median adductor approach. J Bone Jt Surg Am 55:671–689

    Article  Google Scholar 

  17. Chiron P, Murgier J, Cavaignac E et al. (2014) Minimally invasive medial hip approach. Orthop Traumatol, Surg Res 100(6):687–689

    Article  CAS  Google Scholar 

  18. Hoppenfield S, de Boer P, Buckley R (2009) Surgical exposures in orthopaedics: the anatomic approach. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

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Correspondence to Marco Brioschi.

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Conflitto di interesse

Gli autori M. Brioschi, S. Favilla, F. Pace, A. Giai Via e F. Randelli dichiarano di non avere alcun conflitto di interesse.

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Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

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L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

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Brioschi, M., Favilla, S., Pace, F. et al. Le vie chirurgiche conservative: anca. LO SCALPELLO 32, 91–95 (2018). https://doi.org/10.1007/s11639-018-0246-z

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  • DOI: https://doi.org/10.1007/s11639-018-0246-z

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