Primary Article

Posterior Approach for Total Hip Arthroplasty

Authors: ANTHONY G. GRISTINA, MD, GEORGE D. ROVERE, MD, JOSEPH F. NICASTRO, MD, J. GILLUM BURKE, MD

Abstract

Experience with the posterolateral approach to total hip replacement arthroplasty in 229 patients is reported. The technic has the advantages of providing excellent exposure and decreased operative time, minimal blood loss, and absence of the complications associated with removal and replacement of the greater trochanter. Capsulectomy may be done or not, as desired. Classification of results was based on absence of pain and increased range of motion. Of the 229 patients, 95% were classified as having a good to excellent result; 2%, a fair result; and 3%, a poor result. There was no statistically significant correlation between the postoperative formation of ectopic bone and whether or not capsulectomy was done.

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References