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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]
This approach, which was commonly used for pelvic fracture repair surgery, has been adapted for use in hip replacement. When used with older hip implant systems that had a small diameter head, dislocation rates were reduced compared to posterior surgery.
Hip replacement surgery can be performed from three main directions, each with advantages and disadvantages The classical approach is the posterior, and requires dissection of the gluteus maximus and other large muscles of the back of the thigh to access the acetabulum.
Posterior dislocations is when the femoral head lies posteriorly after dislocation. [5] It is the most common pattern of dislocation accounting for 90% of hip dislocations, [5] and those with an associated fracture are categorized by the Thompson and Epstein classification system, the Stewart and Milford classification system, and the Pipkin system (when associated with femoral head fractures).
Robin Sydney Mackwood Ling, OBE (7 September 1927 – 9 October 2017) was an English surgeon who invented the Exeter hip system, a hip replacement.As an orthopaedic surgeon at the Princess Elizabeth orthopaedic hospital, Exeter, he co-operated with an engineer, Dr. Clive Lee from the University of Exeter, to develop a new hip replacement.
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 PCL is located within the knee joint where it stabilizes the articulating bones, particularly the femur and the tibia, during movement.It originates from the lateral edge of the medial femoral condyle and the roof of the intercondyle notch [2] then stretches, at a posterior and lateral angle, toward the posterior of the tibia just below its articular surface.
Hip arthroscopy refers to the viewing of the interior of the acetabulofemoral (hip) joint through an arthroscope and the treatment of hip pathology through a minimally invasive approach. This technique is sometimes used to help in the treatment of various joint disorders and has gained popularity because of the small incisions used and shorter ...
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