A new muscle sparing approach to total hip replacement, the Direct Anterior, hip incision. It is a new means of gaining access for implanting a total hip prosthesis. The advantages are based on a muscle sparing approach through an 8-10cm. incision with No division of any muscle or tendon. Using an “inter-nerval” plane, it has all of the advantages of a minimally invasive incision without the potential complications of the two-incision approach because the surgeon has direct visualization of the critical steps not possible with the two incision approach. By avoiding the abductor muscles, there is reduced tissue trauma, faster recovery, less pain, shorter hospitalization, and minimal blood loss.
For those with anatomical curiosity, the “Interval” is between the tensor fascia lata muscle on the outside and the sartorious and rectus femoris muscles on the inside. This interval allows the surgeon direct visualization of the acetabulum (pelvis/cup) and femur leaving the posterior capsule intact. Why another surgical approach? While the advent of minimally invasive techniques, incidentally which I helped introduce in the US in 20001, has been widely accepted in the orthopedic community and sought after by the patient population, there is room for improvement. The surgeon continually seeks a methodology that reduces risks for the patient and is easily introduced in to a scope of practice. The Direct Anterior, minimally invasive approach holds out promise of allowing both the advantages to the surgeon of full visualization of the operative field, with all of the potential benefits and less risk from minimally invasive surgery.
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A new muscle sparing approach to total hip replacement, the Direct Anterior, hip incision. It is a new means of gaining access for implanting a total hip prosthesis. The advantages are based on a muscle sparing approach through an 8-10cm. incision with No division of any muscle or tendon. Using an “inter-nerval” plane, it has all of the advantages of a minimally invasive incision without the potential complications of the two-incision approach because the surgeon has direct visualization of the critical steps not possible with the two incision approach. By avoiding the abductor muscles, there is reduced tissue trauma, faster recovery, less pain, shorter hospitalization, and minimal blood loss.
For those with anatomical curiosity, the “Interval” is between the tensor fascia lata muscle on the outside and the sartorious and rectus femoris muscles on the inside. This interval allows the surgeon direct visualization of the acetabulum (pelvis/cup) and femur leaving the posterior capsule intact. Why another surgical approach? While the advent of minimally invasive techniques, incidentally which I helped introduce in the US in 20001, has been widely accepted in the orthopedic community and sought after by the patient population, there is room for improvement. The surgeon continually seeks a methodology that reduces risks for the patient and is easily introduced in to a scope of practice. The Direct Anterior, minimally invasive approach holds out promise of allowing both the advantages to the surgeon of full visualization of the operative field, with all of the potential benefits and less risk from minimally invasive surgery.
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