THE HISTORY OF THE ANTERIOR APPROACH OF THE HIP AND REASSESSMENT OF CURRENT INDICATIONS

T.C. Munteanu; Daniela-Elena Mutu; B. Nistor; S. Ruianu; G. Dinu

doi:10.33695/jss.v4i1.27

T.C. Munteanu The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
Daniela-Elena Mutu The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
B. Nistor Medicover Hospital
S. Ruianu The Orthopedics and Traumatology Clinic, The Emergency Clinical Hospital, Bucharest, Romania
G. Dinu The Orthopedics and Traumatology Clinic, The Emergency Clinical Hospital, Bucharest, Romania

DOI: https://doi.org/10.33695/jss.v4i1.27

Keywords: hip reassessment, anterior approach, current indications

Abstract

Surgical approaches were noticed through direct and rapid access to the source of the medical problem on one hand, but on the other hand, through extensive damages of viable and healthy human tissue: blood loss, loss of natural barriers of defense against infections, collateral nervous and muscular lesions from which might result sensitive or motor denerving of an area, followed by immediate or late functional deficits. Noticing the unfavorable impact that surgery has on organism, efforts of the medical scientific world were directed toward development of minimally invasive approaches in order to minimize the post-surgical outcomes by saving as much healthy tissue as possible. Thus, this step is and has been conducted through the use of anatomical knowledge and landmarks in order to create surgical approach that would limit inevitable dissection, necessary to a procedure. A recent example is the more frequent use of direct anterior approach for surgical treatment of many orthopedic hip problems.