Anterior Hip Replacement

Anterior hip replacement is a surgical approach that has dramatically changed the landscape of modern hip replacement. The approach is common to orthopedic trauma surgery, but it has been rapidly adopted in recent years for hip replacement as well. Its proposed benefits as a muscle-sparing surgery include less tissue trauma, faster recovery, and fewer hip precautions. While the technique can be challenging during initial learning and early adoption, the approach continues to increase in utilization in the U.S. every year because of these benefits. Understanding the initial development of the anterior surgical approach for hip replacement creates the foundation to better understand its modern clinical benefits and possibilities with advanced techniques. Furthermore, a detailed description of the reasoning behind the continued developments of the anterior approach helps in understanding the key elements needed to obtain the most successful outcomes. With the continued adoption of this technically challenging technique, there is a need for a comprehensive resource for newly adopting surgeons and surgeons in training, but also for experienced surgeons looking to enhance their skill sets. Written by experts in the field, this book presents the tips and tricks learned after years of experience by a wide spectrum of surgeons. Parts 1 and 2 describe the origin and background of the anterior approach for hip replacement, with early lessons learned, important tips when training others, and how to master the operating table and c-arm. Parts 3 and 4 cover hip biomechanics and variations on techniques and technologies, respectively, while part 5 is a unique compilation of surgeons' perspectives on managing common aspects of the approach. Revision surgery is described in part 6, and future directions for the technique are discussed in part 7, along with emerging navigation and technologies. Every year, there is an increasing number of orthopedic surgeons learning and adopting the anterior hip approach who would benefit from the resources in this book, which will serve as a critical learning tool for training surgeons and also as the go-to reference for optimizing current use and advancing future possibilities of the approach.

The minimally invasive, anterior-based muscle-sparing (ABMS) approach to total hip arthroplasty (THA) is utilized worldwide in select locations as an effective surgical technique. As the name suggests, it is completely muscle-sparing and touts the benefits of anterior-based surgery, including a lower dislocation rate, quicker return to baseline function, and lower narcotic use than many other surgical approaches. However, there is a paucity of collected information on the technique and research associated with this technique. This text serves as a compendium of information for those surgeons interested in utilizing this surgical approach as an all-inclusive reference. As an alternative anterior-based approach to the direct anterior surgical approach, some surgeons may find the technique an improved alternative for anterior hip-based surgery. Opening chapters present the history of the anterolateral approach and how to transition to the ABMS approach, including surgical anatomy. ABMS technique with the patient positioned in both the lateral and supine positions are then presented, including associated video segments. Considerations such as implant selection, fixation, and other tips and tricks are shared, along with comparisons to other approaches, patient-reported outcomes, complications and revision surgery techniques, and rehabilitation strategies. For hip surgeons looking to expand their armamentarium of surgical approaches, The Anterior-Based Muscle-Sparing Approach to Total Hip Arthroplasty is a terrific resource.

"Drs. Sonny Bal, Lee Rubin, and Kristaps J. Keggi have joined their unique perspectives, along with those of a renowned group of experts in the expanding world of anterior hip reconstructions surgery to create this reference. Dr. Keggi was among the first to recognize and leverage the benefits of the direct anterior approach in hip reconstruction; his 40-plus years of experience as a clinician serve as the foundation for the text. The Direct Anterior Approach to Hip Reconstruction provides a stepwise progression for surgeons to learn how to perform total hip arthroplasty using the direct anterior approach, with detailed chapters and video instruction from an internationally renowned group of expert authors. The chapters are structured to focus on the art of using the direct anterior approach to address a variety of hip pathology, such as femoroaetabular impingment, pediatric operations, revision implant surgery, and others. The unique applications of the direct anterior approach within the fields of pediatrics, trauma, reconstruction, and tumor surgery are highlighted, along with chapters focused on femoroacetabular impingment, hip preservation surgery, and postoperative rehabilitation protocols designed to improve patient outcomes. The final section of the book reviews the evidence-based outcomes related to direct anterior total hip arthroplasty, addresses the evolving implant design concepts specific to this approach, and outlines directions for educating the next generation of residents and fellows who will continue to develop and refine these techniques. Complementing the written text is a website that provides access to educational videos to further enhance the learning experience. "--Provided by publisher.

This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery

It has been a pleasure to comply with requests to publish this book in English. During the intervening years, there has been little to add to our views as to the best management of acetabular fractures, but an additional chapter has been incorporated comprising recent findings in our patients and slight changes in emphasis on the indications for operations. Additionally, having recognised that one of the greatest difficulties in this method of treatment lies in the pre-operative assessment of the standard radiographs, we have prepared a short series of radiographs which the reader may find advantageous for study. We are grateful to Mr. Reginald Eison who has translated and revised the French edition. Considerable alteration of the text and the general presen tation was necessary in order to make the material palatable in English. Our thanks are due to our new publishers, Springer-Verlag, for their keen interest and skill. E. LETOURNEL R. JUDET Preface to the French Edition It is a long time since we first attempted surgical treatment of fractures of the acetabulum accompanied by displacement, with the aim of restoring perfect articulation. Such treatment demands an exact reconstitution of the anatomy of the acetabulum and pelvic bone. This volume comprises an account of our efforts to assess the place of open reduction and internal fixation of displaced fractures of the acetabulum. The principal aim is simple: the perfect restoration of the articular surface and the associated bony architecture.

In the last decade, the treatment of hip disease has made huge advancements in terms of patients returning to high levels of function and also in the durability of hip prostheses. Although the anterior approach to the hip has had a long history in orthopedics, it is only in recent years that surgeons are rediscovering this approach to treat both new pathology i.e. femoroacetabular impingement, as well as to facilitate patient's recovery after hip replacement surgery. This issue of OCNA brings together leading experts in the field of hip reconstruction which have been to explore the full potential of the anterior approach in restoring hip function.

This book provides a detailed description of the anatomy as well as surgical aspects of posterior approach to the hip joint. This approach has been highlighted in several key texts in orthopaedics over the years with this book offering the reader a comprehensive overview in a single resource. Modified Posterior Approach to the Hip Joint, 2nd Edition provides a well-structured overview of the original surgical findings undertaken by the Author, which are still followed ardently today. Clinicians seeking a clear and illustrated guide to the posterior approach to hip surgery will find this book to be an indispensable resource in everyday clinical practice.