Category Archives: Hip Resurfacing Surgical Approaches

Hip Resurfacing surgical approaches

Surgical Approaches for Hip Resurfacing

Hip Resurfacing Information at Surface Hippy Posted on by
… Read the rest

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

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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.

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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

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 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

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Computer Navigation Discussion by Dr. Brooks

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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

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Surgical Description and Early Review  200

Link

http://www.ejbjs.org/cgi/content/abstract/90/Supplement_3/38

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 … Read the rest

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

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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

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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

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Minimally Invasive Approach to Hip Resurfacing Surgery Dr. Bose 2008

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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

Will My Neck Capsule Be Preserved?

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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

Approaches in Hip Resurfacing by Dr. Gross

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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

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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

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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