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Review
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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