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The main difference between these hip replacement procedures is where the surgeon makes the incision. In the anterolateral approach, the incision is made in the front of the hip while the patient is lying on their back; in the lateral approach, the incision is made on the patient’s side.
The direct lateral approach (DLA) to the hip joint is a versatile surgical exposure that can be used for primary and simple revision total hip arthroplasty (THA), where an extensile dissection to visualize the pelvis or femur is not needed (1, 2).
Approach. Incision. begin 5cm proximal to tip of greater trochanter. longitudinal incision centered over tip of greater trochanter and extends down the line of the femur about 8cm. Superficial dissection. split fascia lata and retract anteriorly to expose tendon of gluteus medius.
During a hip replacement surgery, an orthopaedic surgeon replaces both ends or one end of the damaged hip joint with artificial parts. There are various surgical approaches to hip replacement surgery, including minimally invasive options that may be appropriate for some patients.
Lateral hip replacement surgery is a transformative procedure aimed at providing pain relief and improved mobility to individuals suffering from hip joint afflictions. Among various surgical approaches, lateral hip replacement stands out as a significant technique.
With a direct lateral approach, it involves a detachment of a portion of the gluteus medius with repair at the end of surgery. Consideration for the partial gluteus medius repair during the lateral approach is important for initial post-operative rehabilitation.
Lateral Precautions: Hip abduction restrictions. Limited Precautions: Either posterior or direct anterior approach. Avoid any extremes of movement or uncomfortable positions. Global Precautions: Combination of both anterior and posterior precautions, described above.
Direct lateral approach total hip replacement is a surgical procedure that involves replacing a damaged or worn-out hip joint with an artificial implant. This approach is performed by making an incision on the side of the hip, allowing the surgeon to access the joint without detaching major muscles, potentially reducing postoperative pain and ...
The traditional surgical approach to total hip replacement uses a single, long incision to view and access the hip joint. A variation of this approach is a minimally invasive procedure in which one or two shorter incisions are used.
The most commonly used approaches for THA include posterior approach (PA), direct lateral approach (DLA), and direct anterior approach (DAA). This article highlights the history and technique for each of these approaches. A review of outcomes and complications for each approach are also provided.