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The Journal of Bone and Joint Surgery (American) 85:39-48 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.

Total Hip Arthroplasty Through a Minimally Invasive Anterior Surgical Approach

Robert E. Kennon, MD, John M. Keggi, MD, Robert S. Wetmore, MD, Laurine E. Zatorski, RN, Michael H. Huo, MD and Kristaps J. Keggi, MD

Corresponding author:
Robert E. Kennon, MD
Keggi Orthopaedic Foundation, 1201 West Main Street, Waterbury, CT
06708

The first 150 words of the full text of this article appear below.

Total hip arthroplasty has become one of the most frequently performed and successful reconstructive procedures in orthopaedic surgery since its introduction more than forty years ago1. While there have been many changes in implant designs and biomaterials, surgical approaches have remained relatively unchanged over the years. Recently, in response to the evolution of minimally invasive procedures such as angioplasty, laparoscopic abdominal surgery, and arthroscopy, orthopaedic surgeons have expressed an increased interest in minimally invasive surgical approaches to total hip arthroplasty.

A variety of surgical approaches have been utilized for the performance of total hip arthroplasty; these include anterior, anterolateral, direct lateral, transtrochanteric, and posterior techniques2-11. The modified anterior approach developed by one of us (K.J.K.) provides effective access to the hip through a small incision and the use of secondary incisions for acetabular and/or femoral instrumentation (Fig. 1)12,13. This surgical approach has been utilized by . . . [Full Text of this Article]


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