What is total hip replacement?

Hip surgery technique

There are several different incisions or approaches used to access the hip joint including the posterior (Kocher), anterolateral (Hardinge or Liverpool), and anterior (Smith-Peterson). The posterior (Kocher) approach accesses the joint through the back, taking Piriformis and Quadratus internis off the lesser trochanter. This approach gives excellent access to the acetabulum and preserves the hip abductors however is supposed to have a higher dislocation rate. The anterolateral approach is the most commonly used approach as it is also the usual approach for trauma replacements (hemiarthroplasties). The approach requires division of the hip abductors (Gluteus Medius and Minimus) in order to access the joint. The abductors may be lifted up by cutting of the greater trochanter and reapplying it afterwards using cables (as per Charnley), or may be divided at there tendinous portion and repaired using sutures. In contrast to the posterior approach and lateral approach, the anterior approach uses a natural interval between soft tissue to gain access to the hip joint. The interval is found between the sartorius and tensor fascia latae. The main disadvantages to the anterior approach are that it risks damage to the lateral femoral cutaneous nerve, and it is not widely available to the public because fewer surgeons have been trained in this technique. Dr. Kristaps Keggi has been a pioneer and advocate of this approach for nearly 30 years. More recently, this approach has been advocated by Zimmer. This approach is not commonly used for hip arthroplasty. (1).

Total hip replacement surgery in our clinic

All procedures are carried out by experienced orthopaedic surgeons, who undergo constant training by regular participation in international orthopaedic conferences. Each of our surgeons performs at least 500 operations per year. We use equipment from renowned companies for the procedures, such as Stryker, Zimmer and Aesculap.


What would you like to do now?
I want to fill in a Contact form...
I want to know what is the cost of total hip replacement surgery...
I want to read about the clinic...
I want to read more about knee arthroscopy...
I want to read more about knee replacement...

Back to top

(1) Hip replacement. (2007, January 19). In Wikipedia, The Free Encyclopedia. Retrieved 09:30, January 25, 2007, from http://en.wikipedia.org/w/index.php?title=Hip_replacement&oldid=101839591