Posterior Approach Hip Replacement

Hip replacement surgery through a posterior approach involves making an incision toward the side of the hip and extending it toward the back of the hip. This approach is performed with the patient carefully positioned on their side with the affected side up. A small portion of the gluteal muscle is then divided along the line of its fibers and then 2-3 small tendons are carefully elevated of the femur bone to expose the hip joint. These are later repaired at the completion of the procedure. The hip joint can then be fully accessed to perform the actual replacement.

Preoperative digital templating can be utilized with a posterior approach surgery. Robotics or other technology (navigation/VR technology) can also be utilized with this approach during the procedure to allow for additional accuracy and precision in placement of the implants. Advantages of the posterior approach can include: easier access to the posterior structures in more complex anatomy, increased ability to extend the incision to get to places further away from the hip joint in more complex situations, and easier access in some heavier patients who have a large abdomen.


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