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Femoral shortening during hip arthroplasty through a modified lateral approach.


ABSTRACT:

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We describe a modification of the direct lateral approach to the hip that provides excellent femoral and acetabular exposure and an easy way to shorten the proximal femur and equalize leg length. The approach also is useful for lower extremity elongation while preserving muscle continuity and minimizing postoperative complications. The exact amount of shortening can be calculated and planned preoperatively and measured and corrected intraoperatively if necessary. It avoids the necessity for osteotomies of the trochanter and transverse cuts or detachment of abductor muscles.

Level of evidence

Level IV, therapeutic study.

SUBMITTER: Delimar D 

PROVIDER: S-EPMC2584271 | biostudies-literature | 2008 Aug

REPOSITORIES: biostudies-literature

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Femoral shortening during hip arthroplasty through a modified lateral approach.

Delimar Domagoj D   Bicanic Goran G   Korzinek Kresimir K  

Clinical orthopaedics and related research 20080516 8


<h4>Unlabelled</h4>We describe a modification of the direct lateral approach to the hip that provides excellent femoral and acetabular exposure and an easy way to shorten the proximal femur and equalize leg length. The approach also is useful for lower extremity elongation while preserving muscle continuity and minimizing postoperative complications. The exact amount of shortening can be calculated and planned preoperatively and measured and corrected intraoperatively if necessary. It avoids the  ...[more]

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