Seminars in Arthroplasty
Volume 19, Issue 2 , Pages 175-179 , June 2008

Total Hip Arthroplasty with the Anterior Surgical Approach Using One or Two Incisions

  • Kristaps J. Keggi, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Kristaps J. Keggi, MD, Keggi Orthopaedic Foundation, 1579 Straits Turnpike, Middlebury, CT 06762.
  • ,
  • Lee Eric Rubin, MD

References 

  1. Smith-Petersen MN. A new supra-articular subperiosteal approach to the hip joint. Am J Orthop Surg. 1917;15:592–593
  2. Charnley J. Arthroplasty of the hip: A new operation. Lancet. 1961;2:129
  3. Crenshaw AH. Surgical Techniques and Approaches. In: Campbell's Operative Orthopaedics. 10th Edition. Philadelphia: Mosby; 2003;p. 58–61
  4. Charnley J. The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg Br. 1972;54:61–76
  5. Allami MK, Fender D, Khaw FM, et al. Outcome of Charnley total hip replacement across a single health region in England: The results at ten years from a regional arthroplasty register. J Bone Joint Surg Br. 2006;88:1293–1299
  6. Buckwalter AE, Callaghan JJ, Liu SS, et al. Results of Charnley total hip arthroplasty with use of improved femoral cementing techniques: A concise follow-up, at a minimum of twenty-five years, of a previous report. J Bone Joint Surg Am. 2006;88:1481–1485
  7. Harris WH. A new lateral approach to the hip joint. J Bone Joint Surg Am. 1967;49:891–898
  8. Iyer KM. A new posterior approach to the hip joint. Injury. 1981;13:76–80
  9. Lowell JD, Aufranc OE. The anterior approach to the hip joint. Clin Orthop Relat Res. 1968;61:193–198
  10. Keggi KJ, Light TR. The anterior approach to total hip replacement. 1977;Clinical Exhibit presented at the 44th annual meeting of the American Academy of Orthopaedic Surgeons, Las Vegas, NV
  11. Light TR, Keggi KJ. Anterior approach to hip arthroplasty. Clin Orthop Relat Res. 1980;152:255–260
  12. Fulkerson JP, Crelin ES, Keggi KJ. Anatomy and osteotomy of the greater trochanter. Arch Surg. 1979;114:19–21
  13. Presented at the Yale Orthopaedic Alumni Association Annual Meeting, Banff, Canada, 1986
  14. Berry DJ, Berger RA, Callaghan JJ, et al. Minimally invasive total hip arthroplasty: Development, early results, and a critical analysis. J Bone Joint Surg Am. 2003;85:2235–2246
  15. Mears D, Acker DM, Cherman DG, et al. Method and apparatus for performing a minimally invasive total hip arthroplasty. U.S. Patent 6,991,656, granted January 31, 2006. United States Patent & Trademark Office http://www.uspto.gov/patft/index.htmlAccessed 3/28/2008
  16. Ling ZX, Kumar VP. The course of the inferior gluteal nerve in the posterior approach to the hip. J Bone Joint Surg Br. 2006;88:1580–1583
  17. Kennon RE, Keggi JM, Zatorski LE, et al. Anterior approach for total hip arthroplasty: Beyond the minimally invasive technique. J Bone Joint Surg Am. 2004;86:91–97
  18. Kennon RE, Keggi JM, Keggi KJ. The anterior approach to hip arthroplasty: The short, single minimally invasive incision. Oper Tech Orthop. 2004;14:85–93
  19. Huo MH, Zurauskas A, Zatorski LE, et al. Cementless total hip replacement in patients with developmental dysplasia of the hip. J South Orthop Assoc. 1998;7:171–179
  20. Huo MH, Solberg BD, Zatorski LE, et al. Total hip replacements done without cement after acetabular fractures. J Arthroplasty. 1999;14:827–831
  21. Huo MH, Martin RP, Zatorski LE, et al. Cementless total hip arthroplasties using ceramic-on-ceramic articulation in young patients. J Arthroplasty. 1996;11:673–678
  22. Mears D, Greig K, Zwirkoski PA. Method and apparatus for performing a minimally invasive total hip arthroplasty. U.S. Patent 6,953,480, granted October 11, 2005. United States Patent & Trademark Office http://www.uspto.gov/patft/index.htmlAccessed 3/28/2008
  23. Bal BS, Haltom D, Aleto T, et al. Early complications of primary total hip replacement performed with a two-incision minimally invasive technique. J Bone Joint Surg Am. 2005;87:2432–2438
  24. Hendrikson RP, Keggi KJ. Anterior approach to resurfacing arthroplasty of the hip: A preliminary experience. Conn Med. 1983;47:131–135
  25. Kennon RE. Hip and Knee Surgery (A Patient's Guide to Hip Replacement, Hip Resurfacing, Knee Replacement, and Knee Arthroscopy). 2008;Lulu.com
  26. Kennon RE, Keggi JM, Wetmore RS, et al. Total hip arthroplasty through a minimally invasive anterior surgical approach. J Bone Joint Surg Am. 2003;85:39–48
  27. Matta JM, Shahrdar C, Ferguson T. Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clin Orthop Relat Res. 2005;441:115–124

 The authors acknowledge research support from the Keggi Orthopaedic Foundation in completing this manuscript. No funding for either author was directly obtained from industry sources related to the findings of this article.

PII: S1045-4527(08)00012-6

doi: 10.1053/j.sart.2008.02.003

Seminars in Arthroplasty
Volume 19, Issue 2 , Pages 175-179 , June 2008