Should we be concerned when the anterior approach to the hip goes accidentally medial? A retrospective study
The anterior approach can rarely result in excessive medial exposure to the hip joint, especially during the learning curve. In our study cohort, an increased rate of neurological complications and reduced outcomes were observed, thereby rendering this event of particular clinical significance. To avoid unconventional intermuscular intervals, patient positioning and correct identification of the muscle bellies by recognizing the orientation of the muscle fibers are useful, together with the identification and ligation of the circumflex vessels, to ensure the identification of the correct intermuscular interval.
Authors
- Matteo Brunello (ORCID: https://orcid.org/0000-0001-9376-5480)
- Giuseppe Geraci (ORCID: https://orcid.org/0000-0002-9640-5031)
- Niccolò Stefanini (ORCID: https://orcid.org/0000-0001-5648-8031)
- Francesco Traina (ORCID: https://orcid.org/0000-0002-0196-101X)
- Federico Pilla (ORCID: https://orcid.org/0000-0001-8083-7932)
- Alberto Di Martino (ORCID: https://orcid.org/0000-0002-0716-4951)
- Cesare Faldini (ORCID: https://orcid.org/0000-0001-8152-4778)
- Federico Ruta (ORCID: https://orcid.org/0000-0003-0888-5221)
Institutions
- Istituto Ortopedico Rizzoli (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Orthopedic Institute (US)
- University of Bologna (IT)
Publication Details
- Journal
- Arthroplasty
- Published
- 2024-09-01
- DOI
- https://doi.org/10.1186/s42836-024-00269-9
- Citations
- 2
- Primary Topic
- Orthopaedic implants and arthroplasty
- Type
- article
- Field-Weighted Citation Impact
- 1.15