Erschienen in:
01.12.2013 | Invited Commentary
Direct anterior approach to THR: what it is and what it is not
verfasst von:
Jose A Rodriguez, H. John Cooper, Jonathan Robinson
Erschienen in:
Current Reviews in Musculoskeletal Medicine
|
Ausgabe 4/2013
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Excerpt
I distinctly remember attending conferences during residency in the early 1990s where the issue of operative approach to hip replacement was debated. At that point, the main debate was between the posterior approach and the Hardinge approach and its modifications. Each had been widely used for over 10 years, and a solid body of knowledge was developing. The Hardinge approach provided a dislocation rate of 0.3%, but a longer recovery, and a 10% rate of limp at the end of a year [
1]. The posterior approach had a faster recovery, but a dislocation rate of 2%–4%. The discussion was open, and seemingly free of emotional content, because the debate was among colleagues, who were free to make decisions based on their experience and their reading of the literature. …