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The modified posterior MIS approach to hip resurfacing and total hip arthroplasty (hip replacement) displays a host of advantages to the patient: Less post-operative pain; Less soft tissue damage and pressure on muscle fibres. Shorter hospital stay; Lower blood loss; Smaller incision; Quicker return to work and functional activities [2]
The pelvic bone, also known as the innominate bone, is formed by three bones fused together: the ilium, ischium, and pubis. The musculature of the hip is divided into anterior hip muscles and posterior hip muscles. The major nerve supply that runs through the hip joint is the femoral nerve and the sciatic nerve. [16]
The anterior longitudinal approach: the probe is aligned along the long axis of the femoral neck. The needle is introduced from an anteroinferior approach and is passed into the anterior joint recess at the femoral head-neck junction. Anterolateral approach, here shown as a transverse image. The needle will rest on the femoral head (arrow).
Total hip replacement is most commonly used to treat joint failure caused by osteoarthritis.Other indications include rheumatoid arthritis, avascular necrosis, traumatic arthritis, protrusio acetabuli, [5] certain hip fractures, benign and malignant bone tumors, [6] arthritis associated with Paget's disease, [7] ankylosing spondylitis [8] and juvenile rheumatoid arthritis. [9]
The summit and anterior surface of the lesser trochanter are rough, whereas its posterior surface is smooth. [1] From its apex three well-marked borders extend: [2] two of these are above a medial continuous with the lower border of the femur neck; a lateral with the intertrochanteric crest
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Located on the posterior side of the hip joint, it is a strong external rotator and adductor of the thigh, [2] but also acts to stabilize the femoral head in the acetabulum. The quadratus femoris is used in Meyer's muscle pedicle grafting to prevent avascular necrosis of femur head.
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