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Surgical Approaches of the Hip

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The Adult Hip - Master Case Series and Techniques

Abstract

This approach exploits the intermuscular plane between the tensor fasciae latae (TFL) and the gluteus medius with partial or complete detachment of some or all of the abductor mechanism from greater trochanter [1]. There is no true internervous plane as both these muscles have a common nerve supply, the superior gluteal nerve [2]. The fascia lata is divided at the interval between the TFL and gluteus maximus, and then the tendon and muscle fibers of the gluteus medius are split with various techniques leaving a cuff of gluteus medius tendon for repair following the procedure [2, 3]. The gluteus minimus and joint capsule are split either in line with the neck of the femur or in line with the tendinous part of the gluteus minimus [1].

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Author information

Authors and Affiliations

  1. Academic Orthopaedic Unit, Aristotle University Medical School, Thessaloniki, Greece

    Eustathios Kenanidis M.D., Ph.D., M.Sc., Dimitrios Rigkos MD, Georgios Paparoidamis MD & Aristotelis Yfantis MD

  2. Northern Institute for Cancer Research, Paul O’Gorman Building, Medical School, Newcastle University, Newcastle upon Tyne, UK

    Zakareya Gamie B.Sc., M.B.Ch.B., M.R.C.S.

  3. Academic Orthopaedic Unit, Papageorgiou General Hospital, Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.

  4. Kaiser Permanante, Oakland, CA, USA

    Michael J. Feldstein M.D., S.M.

  5. Sidney Kimmel Medical School at Thomas Jefferson University, Rothman Institute Orthopaedics, Philadelphia, PA, USA

    William Hozack M.D.

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  1. Eustathios Kenanidis M.D., Ph.D., M.Sc.
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  2. Dimitrios Rigkos MD
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  5. Zakareya Gamie B.Sc., M.B.Ch.B., M.R.C.S.
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  6. Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.
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Corresponding authors

Correspondence to Zakareya Gamie B.Sc., M.B.Ch.B., M.R.C.S. , Michael J. Feldstein M.D., S.M. , William Hozack M.D. , E. Kenanidis MD, MSc, PhD , E. Tsiridis MD, PhD, FACS, FRCS or Michael Feldstein .

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  1. Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis

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Kenanidis, E. et al. (2018). Surgical Approaches of the Hip. In: Tsiridis, E. (eds) The Adult Hip - Master Case Series and Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-64177-5_2

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  • DOI: https://doi.org/10.1007/978-3-319-64177-5_2

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