Review Article
Volume 13 Issue 4 - 2022
Antero-Lateral Approach to Hip Replacement: 45 Degree Oblique Patient Position Improves the Features of the Implant
Pozza Valerio1*, Carugno Costantino1*, Palermo Augusto2, Grano Giovanni3 and Molfetta Luigi4
1General Hospital, Unit of Orthopaedic and Traumatology, Piove di Sacco, Padova, Italy
2IRCCS Unit Orthopaedic Surgery, Huimanitas Hospital Bergamo, Italy
3General Hospital, Unit of Orthopaedic and Traumatology, Bassano del Grappa, Italy
4DISC Department, University of Genoa, School of Medical and Pharmaceutical Sciences, Genoa, Italy
*Corresponding Author: Pozza Valerio, General Hospital, Unit of Orthopaedic and Traumatology, Piove di Sacco, Padova, Italy.
Received: January 24, 2022; Published: March 11, 2022


There are numerous approaches to prosthetic hip surgery and the surgeon favors a specific procedure according to his personal experience. The Watson Jones anterolateral approach in recent years shares the direct lateral approach, the primacy method used in prosthetic hip surgery, with a minimally invasive procedure that guarantees better post-operative results.

To improve the surgical approach in the exposure of the femur and above all of the acetabulum both in primary implants and in revisions, a variation has been made by positioning the patient in the lateral decubitus position with an obliquity of 45 degree, giving a broader and more complete visibility of the acetabulum and with better post-operative clinical results than the traditional technique; the positioning of the limb to be operated on has also been adapted to avoid stress on the ipsilateral knee especially if prosthetic or in patients with severe osteoporosis. This therefore has an important pathogenetic role with interesting perspectives for rehabilitation.


Keywords: Hip; Prosthesis; Surgical Approach; Acetabular Exposure


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Citation: Pozza Valerio., et al. “Antero-Lateral Approach to Hip Replacement: 45 Degree Oblique Patient Position Improves the Features of the Implant”. EC Orthopaedics 13.4 (2022): 33-39.

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