Category Archives: Hip Resurfacing Surgical Approaches
Will My Neck Capsule Be Preserved?
Dr. BoseThe 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.… Continue reading →
Anterior Approach to Hip Resurfacing by Dr. Beaule 2020
March 13, 2020 Session XI-VII / P. Beaulé / Anterior approach hip resurfacing: an analysis of more than 500 cases / Hip Symposium Bern 2020 Continue reading →
Anterior, Lateral and Posterior Approach to Surgery by Talking with Docs – Dr. Zalzal and Dr. Weening
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 … Continue reading →
Anterior Approach to Surgery by Dr. Matta
Updated 6/15/09 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… Continue reading →
Computer Navigation Discussion by Dr. Brooks
Updated 2/20/2010 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… Continue reading →
Anterolateral Approach to Hip Resurfacing by Dr. Jacobs
Updated September 2008 Surgical Description and Early Review 2008Link 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… Continue reading →
Neck Capsule Preservation NCP Approach in Hip Resurfacing by Dr. Su and Dr. Bose
Obtained by Freelance Patient Advocate Volunteer Vicky Marlow 8/22/08 What is the NCP – Neck Capsule Preservation – Approach in Hip Resurfacing? 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… Continue reading →
Surgical Approach by Joint Replacement Institute of Los Angeles, CA
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… Continue reading →
Minimally Invasive Approach to Hip Resurfacing Surgery Dr. Bose 2008
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… Continue reading →
Approaches in Hip Resurfacing by Dr. Gross
Updated 6/27/2012 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… Continue reading →
Posterior Approach by Dr. Bose
***Thank You to Vicky Marlow for gathering this important information 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… Continue reading →
Anterolateral Approach to Surgery by Dr. Mont
Updated 9/14/08 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… Continue reading →
Computer Navigation Discussion by Dr. Schmalzried
Updated 2/20/2010 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… Continue reading →
Surgical Approaches for Hip Resurfacing by Dr. Su
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… Continue reading →
Computer Navigation Discussion By Dr. Gross
Updated 3/10/2010 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… Continue reading →
Computer Navigation Discussion by Dr.De Smet
Updated 2/20/2010 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… Continue reading →
The anterolateral approach
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… Continue reading →