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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