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Home→Categories Hip Resurfacing Information→Hip Resurfacing Surgical Approaches 1 2 >>

Category Archives: Hip Resurfacing Surgical Approaches

Learn about surgical approaches for hip resurfacing – anterior, posterior & anterolateral methods. Compare options which best suit your needs.

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Surgical Approaches for Hip Resurfacing

Hip Resurfacing at Surface Hippy Posted on September 10, 2017 by Patricia WalterSeptember 11, 2018
  • 15 Year Anniversary of BHR Hip Resurfacing with Dr. De Smet 2006
  • What is Hip Resurfacing?
  • 1 1/2 Year Update Blinky’s Hip Resurfacing with Dr. Gross 2015
  • 1 Year Anniversary Jim Thyne’s Hip Resurfacing with Professor Meek 2019
  • 1 Year Update Brian ReCERF Hip Resurfacing with Dr. De Smet 2019
  • 1 Year Update David Brewer’s H1 Ceramic Hip Resurfacing with Professor Cobb 2017
  • 1 Year Update Steve Lee’s Hip Resurfacing with Dr. Su 2019
  • 10
… Read the rest

Will My Neck Capsule Be Preserved?

Hip Resurfacing at Surface Hippy Posted on September 17, 2021 by Patricia WalterJanuary 14, 2022

Dr. Bose

The NCP (Neck Capsule Preserving) Approach which is increasingly being adopted by surgeons world wide was developed at ARCH by Dr. Bose. This facilitates a faster recovery due to the repair of the capsule.  The vascularity of the critical regions of the head and neck is also preserved in the NCP Approach.

Dr. De Smet

Do you preserve the hip capsule during your hip resurfacing surgeries?

[Koen De Smet ANSWER/]  YES AND I … Read the rest

Anterior Approach to Hip Resurfacing by Dr. Beaule 2020

Hip Resurfacing at Surface Hippy Posted on March 15, 2020 by Patricia WalterMarch 15, 2020
March 13, 2020    Session XI-VII / P. Beaulé / Anterior approach hip resurfacing: an analysis of more than 500 cases / Hip Symposium Bern 2020… Read the rest

Anterior, Lateral and Posterior Approach to Surgery by Talking with Docs – Dr. Zalzal and Dr. Weening

Hip Resurfacing at Surface Hippy Posted on August 26, 2018 by Patricia WalterFebruary 14, 2023

Talking With Docs Published on July 24, 2018 – Dr. Paul Zalzal and Dr. Brad Weening discuss different surgical approaches to hip replacement surgery. There has been a lot of interest in the anterior hip approach recently. This video compares anterior approach to lateral and posterior approaches.

Please see the complete user agreement at talkingwithdocs.com

Medical emergency
Do NOT use the Video for medical emergencies. If you have a medical emergency, call a physician … Read the rest

Anterior Approach to Surgery by Dr. Matta

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterFebruary 23, 2021

 Note by Patricia Walter:  Sometimes hip resurfacing surgeons are not specific when they are talking about the “anterior approach to surgery” since this can include the Direct Anterior Approach, the Anterolateral Approach and other variations.  The surgeons using the posterior approach often refer to the “anterior approach” incorrectly to include all types of anterior approaches. Dr. Matta has written a comprehensive explanation of the Anterior Approach to explain the misinformation often presented.


The postings

… Read the rest

Computer Navigation Discussion by Dr. Brooks

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterDecember 11, 2015

Hi Pat,

Computerized navigation has been around for a long time, in
total hips, total knees, and now hip resurfacing. A lot of
surgeons, including me, have tried it out and not seen an
advantage in all but very exceptional cases. Yet other
surgeons use it on every case.

This is what I think about computerized navigation: It is a
tool which can narrow the “bell-curve” of component
position, but the curve still has some

… Read the rest

Anterolateral Approach to Hip Resurfacing by Dr. Jacobs

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterJanuary 14, 2019

Surgical Description and Early Review  200

Link

Michael A. Jacobs, MD1,
Robin N. Goytia, MD1 and Tarun
Bhargava, MD1

1 5601 Loch Raven Boulevard,
Russell Morgan Building, Suite 402, Baltimore, MD 21239

Background: Recently, metal-on-metal hip resurfacing has
enjoyed a resurgence as an alternative to hip
arthroplasty in properly selected patients. The
purpose of the present study was to report the
early results of hip resurfacing through an anterolateral
approach and … Read the rest

Neck Capsule Preservation NCP Approach in Hip Resurfacing by Dr. Su and Dr. Bose

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterMay 19, 2016
Obtained by Freelance Patient Advocate Volunteer Vicky Marlow 8/22/08

Dr. Su’s Article

The NCP approach, at least the way that we mean it, is a different
way to incise the capsule in order to gain access to the hip joint.
Usually with THR, the capsule is detached from the femoral neck and
flipped back. It is usually preserved and repaired in order to avoid
dislocation.

With the NCP approach in hip resurfacing, we cut the

… Read the rest

Surgical Approach by Joint Replacement Institute of Los Angeles, CA

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterMay 19, 2016

What are the differences between the posterior and anterior surgical approaches?

Recovery is quicker with the posterior approach because no
important muscle groups are sectioned. The posterior
approach is also well-suited for patients who are large,
well muscled or who require special techniques to implant
the hip resurfacing socket.

To improve stability and reduce the incidence of dislocation
after THR, some surgeons changed from the posterior to the
anterior approach. Even a hip resurfacing procedure

… Read the rest

Minimally Invasive Approach to Hip Resurfacing Surgery Dr. Bose 2008

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterFebruary 23, 2021

5/1/08

Yes, it is true that minimally invasive approach has been proven not to have great benefits over a conventional incision in terms of blood loss, pain , or speed of recovery in the same surgeons hands. It is only of cosmetic value.

All studies to investigate this have been done on two groups of patients in which a single surgeon employs the two approaches in the diff groups. When a surgeon who is capable
… Read the rest

Approaches in Hip Resurfacing by Dr. Gross

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterAugust 11, 2017

Approaches in hip resurfacing by Dr. Gross

The path that surgeons choose to arrive at the hip joint is called the
“approach”. There are many different basic approaches used for hip resurfacing.
None has been proven to be superior to others based on valid scientific
research. Basically, I recommend that a surgeon use the method that he/she is
already most comfortable with when performing standard total hip replacement and
modify it as needed for the … Read the rest

Posterior Approach by Dr. Bose

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterDecember 17, 2015
The post approach which I employ is traditionally known as the muscle sparing approach and the anterior and anterolateral approaches which is very popular in the U.S and some parts of Europe are the muscle compromising approaches. The muscle here refers to the Abductor group or the muscles which lift your leg sideways and is the most important muscle of the hip. The post approach spares this completely.However some muscle have to be cut in
… Read the rest

Anterolateral Approach to Surgery by Dr. Mont

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterAugust 11, 2017

The choice of approach to use for resurfacing has received much attention and I believe extra “hype.” In multiple studies now published, there are no reported clinical differences in the short term and up to ten years of follow-up between anterior and posterior approaches. I believe that any approach can be used and the surgeon should use what they feel most comfortable.

Short-term differences that patients may report with either approach have to do with … Read the rest

Computer Navigation Discussion by Dr. Schmalzried

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterDecember 11, 2015

Dear Pat,

There is some data indicating that navigation can improve
the accuracy of femoral component placement in hip
resurfacing.  The real issue is “compared to what?”  For an
inexperienced surgeon, navigation may help him avoid
component positioning problems that have been associated
with “the learning curve”.  However, for an experienced
surgeon, who has an established mechanical alignment system
with a high success rate – it is difficult to demonstrate an
advantage to him with

… Read the rest

Surgical Approaches for Hip Resurfacing by Dr. Su

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterDecember 18, 2015

What Surgical Approach do you Use?

I like the posterior approach for the excellent exposure that it provides (which is critical for the positioning of the implants) and the ease of recovery for the patient. There are some who believe a trochanteric flip (Ganz osteotomy) or anterolateral approach are better for the blood supply, but we saw from Mr. Treacy’s data that there wasn’t any difference in outcomes between the posterior and anterolateral approaches. Also,

… Read the rest

Computer Navigation Discussion By Dr. Gross

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterDecember 11, 2015

Dear Pat,

Thank you for the work you do, it helps so many.

Computer aided navigation is an
interesting concept. However, there is no evidence that it
leads to better clinical outcomes and fewer failures. On the
other hand, there is ample evidence that surgeon experience
has a dramatic effect on outcomes and complications.

One way to conceptulize this is that the experienced
surgeon’s brain is a computer with much more sophisticated
“software” than a

… Read the rest

Computer Navigation Discussion by Dr.De Smet

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterJanuary 7, 2022
DEAR PAT

WHAT ABOUT NAVIGATION

Today navigation is still a tool that is not easy to use and
that needs a certain learning curve as resurfacing itself
also has.

So it is not a useful tool today for resurfacing beginners,
where it should be! It would be nice if it would be a help
at the start of the learning curve.

So can somebody with experience use it or should they use
it?

It is

… Read the rest

The anterolateral approach

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterDecember 14, 2015

The anterolateral approach leads to less disruption of the femoral head-neck blood supply than the posterior approach during hip resurfacing 2007

R. Steffen, MRCS, Clinical Research Fellow1; K. O’Rourke, FRCS, Consultant Orthopaedic Surgeon2; H. S. Gill, DPhil, University Research Lecturer1; and D. W. Murray, FRCS, Consultant Orthopaedic Surgeon1

1 Nuffield Department of Orthopaedic Surgery, University of Oxford, Nuffield Orthopaedic Centre, Windmill Road, Oxford OX3 7LD, UK. 2 Cappagh

… Read the rest

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