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Minimally Invasive Total Joint Arthroplasty pp 33–38Cite as

Modified Direct Lateral Approach

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Abstract

The direct lateral approach provides a number of distinct advantages over the others approaches most commonly used. It allows for excellent exposure of the acetabulum and femur with the option for extension in revision and complex primary cases. The advantages of the direct lateral approach include: preservation of the posterior capsule, a dislocation rate <1% and a low incidence of sciatic nerve injury. Its main drawbacks are a reported increased risk of heterotopic ossification and superior gluteal nerve injury with resultant abductor weakness and limp.

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Authors
  1. V. Krebs
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  2. E. Sladek
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  3. A. Baddar
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  4. W. Barsoum
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  5. L. S. Borden
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Editor information

Editors and Affiliations

  1. Jefferson Medical School, Rothman Institute Orthopedics, 925 Chestnut Street, 19107, Philadelphia, PA, USA

    William J. Hozack M.D. (Professor of Orthopedic Surgery) (Professor of Orthopedic Surgery)

  2. Department for Orthopaedics, Medical University Innsbruck, Anichstrasse 35, A-6020, Innsbruck, Austria

    Martin Krismer M.D. (Full Professor), Michael Nogler M.D., M.A., M.A.S., M.Sc. (Associate Professor) & Franz Rachbauer M.D., M.A.S., M.Sc. (Associate Professor) (Full Professor),  (Associate Professor) &  (Associate Professor)

  3. Bonutti Clinic, 1303 West Evergreen Avenue, 62401, Effingham, Illinois, USA

    Peter M. Bonutti MD, FACS (Associate Clinical Professor) (Associate Clinical Professor)

  4. Department of Orthopaedic Surgery, University of Arkansas, USA

    Peter M. Bonutti MD, FACS (Associate Clinical Professor) (Associate Clinical Professor)

  5. Information Technology Division, e-Cleveland Clinic The Cleveland Clinic, 9500 Euclid Avenue, Desk A-41, 44195, Cleveland, Ohio, USA

    Jonathan L. Schaffer M.D., MBA (Managing Director) (Managing Director)

  6. Brisbane Orthopaedic Specialist Services, Holy Spirit Hospital, Level 7, Suite 1, Wickham Terrace, 4000, Brisbane, QLD, Australia

    William J. Donnelly Dr. (Orthopedic Surgeon) (Orthopedic Surgeon)

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© 2004 Springer Medizin Verlag Heidelberg

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Krebs, V., Sladek, E., Baddar, A., Barsoum, W., Borden, L.S. (2004). Modified Direct Lateral Approach. In: Hozack, W.J., et al. Minimally Invasive Total Joint Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59298-0_7

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  • DOI: https://doi.org/10.1007/978-3-642-59298-0_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63926-5

  • Online ISBN: 978-3-642-59298-0

  • eBook Packages: Springer Book Archive

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