1;Title;2 2;Halftitle;3 3;Copyright;4 4;Dedication;5 5;Preface;6 6;Contents;8 7;Contributors;12 8;1: Introduction;13 8.1;1.1 Development of Surgery in General;13 8.1.1;1.1.1 Social Changes;13 8.1.2;1.1.2 Technological Development;14 8.2;1.2 Development of Orthopaedic Surgery;14 8.3;1.3 Surgical Approaches in Orthopaedics;15 8.4;1.4 Surgical Approaches to the Hip Joint;15 8.5;1.5 Minimally Invasive Surgery;16 8.6;1.6 Conclusions;18 8.7;1.7 Scope of This Book;18 8.7.1;References;18 9;2: Anatomy of the Hip Joint;19 9.1;2.1 Muscles Surrounding the Hip;19 9.2;2.2 Nerves in the Anatomical Vicinity of the Hip Joint;24 9.3;2.3 Femoral Nerve (Fig. .2.7.);24 9.4;2.4 Lateral Cutaneous Nerve of the Thigh (Fig. .2.8.);25 9.5;2.5 Superior and Inferior Gluteal Nerves (Fig. .2.9.);26 9.6;2.6 Sciatic Nerve (Fig. .2.10.);27 9.6.1;References;29 10;3: Complications;32 10.1;3.1 Complications;32 10.1.1;3.1.1 Pre- and Intra-Operative Events;32 10.1.2;3.1.2 Post-Operative Events;33 10.2;References;33 11;4: Patient Selection, Indications and Contraindications;34 11.1;4.1 Patient Selection;34 11.1.1;4.1.1 Examination;34 11.1.2;4.1.2 Indications;35 11.1.3;4.1.3 Contraindications;35 11.2;References;36 12;5: The Anterior Approach.1;37 12.1;5.1 Introduction;37 12.2;5.2 Patient Selection;38 12.2.1;5.2.1 Examination;38 12.2.2;5.2.2 Indications;38 12.2.3;5.2.3 Contraindications;39 12.3;5.3 Advantages;39 12.4;5.4 Disadvantages;40 12.5;5.5 Patient Positioning/OP Field;40 12.5.1;5.5.1 Patient Positioning;40 12.5.2;5.5.2 Surgical Instrumentation;41 12.5.3;5.5.3 Hip Prosthesis;41 12.6;5.6 Surgical Technique;42 12.6.1;5.6.1 Incision and Approach;42 12.6.2;5.6.2 Preparation of the Femoral Neck;45 12.6.3;5.6.3 Preparation of the Acetabulum;47 12.6.4;5.6.4 Preparation of Femur;49 12.6.5;5.6.5 Reduction;52 12.6.6;5.6.6 Closure;52 12.7;5.7 Post-Surgical Care and Rehabilitation;52 12.7.1;5.7.1 Immediate Post-Surgical Care;52 12.7.2;5.7.2 Physiotherapy;53 12.8;5.8 Complications;53 12.8.1;5.8.1 Pre- and Intra-Operative Events;53 12.8.2;5.8.2 Post-Operative Events;53 12.9;5.9 Personal Experience, Outcome and Success Rate;54 12.10;References;54 13;6: The Anterolateral Approach with the Patient in Lateral Position1;56 13.1;6.2 Patient Selection;57 13.1.1;6.2.1 Examination;57 13.1.2;6.2.2 Indications;57 13.1.3;6.2.3 Contraindications;57 13.2;6.3 Advantages;58 13.3;6.4 Disadvantages;59 13.4;6.5 Patient Positioning/OP Field;59 13.4.1;6.5.1 Patient Positioning;59 13.4.2;6.5.2 Surgical Instrumentation;60 13.4.3;6.5.3 Hip Prosthesis;60 13.5;6.6 Surgical Technique;60 13.5.1;6.6.1 Incision and Approach;60 13.5.2;6.6.2 Preparation of the Femoral Neck;62 13.5.3;6.6.3 Preparation of the Acetabulum;63 13.5.4;6.6.4 Preparation of Femur;64 13.5.5;6.6.5 Reduction;66 13.5.6;6.6.6 Closure;68 13.6;6.7 Postsurgical Care and Rehabilitation;68 13.6.1;6.7.1 Immediate Post Surgical Care;68 13.6.2;6.7.2 Physiotherapy;68 13.7;6.8 Complications;68 13.7.1;6.8.1 Pre-and Intraoperative Events;68 13.7.2;6.8.2 Postoperative Events;69 13.8;6.9 Personal Experience, Outcome and Success Rate;69 13.9;References;70 14;7: The Anterolateral Approach with the Patient in Supine Position 1;71 14.1;7.1 Introduction;71 14.2;7.2 Patient Selection;72 14.2.1;7.2.1 Examination;72 14.2.2;7.2.2 Indications;72 14.2.3;7.2.3 Contraindications;73 14.3;7.3 Advantages;73 14.4;7.4 Disadvantages;74 14.5;7.5 Patient Positioning/OP Field (Fig. 7.1);75 14.5.1;7.5.1 Patient Positioning;75 14.5.2;7.5.2 Surgical Instrumentation;76 14.5.3;7.5.3 Hip Prosthesis;76 14.6;7.6 Surgical Technique;76 14.6.1;7.6.1 Incision and Approach;76 14.6.2;7.6.2 Preparation of the Femoral Neck;77 14.6.3;7.6.3 Preparation of the Acetabulum;81 14.6.4;7.6.4 Preparation of Femur;81 14.6.5;7.6.5 Reduction;82 14.6.6;7.6.6 Closure;83 14.7;7.7 Post-Surgical Care and Rehabilitation;83 14.7.1;7.7.1 Immediate Post-Surgical Care;83 14.7.2;7.7.2 Physiotherapy;83 14.8;7.8 Complications;84 14.8.1;7.8.1 Pre- and Intra-Operative Events;84 14.8.2;7.8.2 Post-Operative Events;8