hardinge

Approach

 

Options

 

Direct Lateral - transgluteal

Postero-lateral - release short external rotators

Direct Anterior

 

Results

 

Gait / outcomes

 

Meermans et al Bone Joint J 2017

- systematic review of 42 studies comparing Direct Anterior / Posterior / Lateral

- better outcomes in Direct Anterior in first 6 weeks

Hip

Approaches

 

Anterior

Anterolateral

Lateral

Posterior

Medial

 

Anterior Approach / Smith Peterson

 

Indications

- neonatal hip sepsis

- open reduction hip DDH

 

Techique

 

Position

- supine

- sandbag under buttock

- free drape leg

 

Landmarks