Table 4

Tips and tricks for anterior approach

Soft tissue management • Capsulectomy must be performed.
• The reflected head of rectus femoris can be released at the superolateral part of the acetabulum.
• The anterior retractor should be positioned in the tear drop and not in the upper part of the anterior horn.
Acetabulum preparation • A femoral release after the femoral cut is key in improving acetabular exposure.
• A slight traction of the leg can open the space to pass the reamer.
Cup positioning • Keep a sufficient anteversion to avoid psoas impingement.
• Intra-operative fluoroscopy confirms appropriate positioning of implants.
Intraoperative testing • The use of a standard Table allows an efficient intraoperative test of the hip, similar to a posterior approach.

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