Acetabular orientation: anterolateral approach in the supine position.

Abstract:

UNLABELLED:The anterolateral approach in the supine position provides excellent visualization of the acetabulum. The main advantage of the approach, a low dislocation rate, has been demonstrated in the literature, while the purported disadvantage of abductor dysfunction has not been clearly delineated in the literature. The technique requires meticulous attention to preservation of the gluteus medius and minimus tendons. Impingement and dislocation are avoided by careful attention to the preparation of acetabulum, critical assessment of the implanted components, and intraoperative trialing. Leg lengths are assessed through direct palpation of the malleoli. Routine use of postoperative hip precautions is not necessary when this approach is utilized. The anterolateral approach in the supine position allows for a reproducible result with a low dislocation rate. LEVEL OF EVIDENCE:Level V, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

journal_name

Clin Orthop Relat Res

authors

Austin MS,Rothman RH

doi

10.1007/s11999-008-0523-x

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

112-8

issue

1

eissn

0009-921X

issn

1528-1132

journal_volume

467

pub_type

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