A “Modern” Posterior Approach – “The Back Is Back”

Abstract In recent years the direct anterior approach to total hip arthroplasty has become increasingly popular. This popularization took place at a time when posterior approach surgeons were struggling with dislocation risks and slowed recovery due to now outdated techniques. However, at the same t...

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Bibliographic Details
Published in:Seminars in arthroplasty 2016-12, Vol.27 (4), p.214-220
Main Authors: Debbi, Eytan M., MD PhD, Campbell, Joshua, MD, Penenberg, Brad L., MD
Format: Article
Language:English
Subjects:
Direct anterior approach
Iliotibial band sparing posterior approach
Minimally invasive
Modern posterior approach
Orthopedics
Total hip arthroplasty
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Summary:Abstract In recent years the direct anterior approach to total hip arthroplasty has become increasingly popular. This popularization took place at a time when posterior approach surgeons were struggling with dislocation risks and slowed recovery due to now outdated techniques. However, at the same time that the anterior approach gained popularity, the standard posterior approach was also adapted and modernized. We present a modern minimally invasive posterior approach that we believe achieves the same degree of soft tissue preservation, with similar early recovery benefits as compared to the direct anterior approach, but with a lower risk profile and the potential for step wise adoption and a surgeon controlled learning curve.
ISSN:1045-4527
1558-4437
DOI:10.1053/j.sart.2017.03.013