Surgical Tips and Tricks for the Anterior-Based Muscle-Sparing Approach During Total Hip Arthroplasty

IF 1.5 Q3 ORTHOPEDICS Arthroplasty Today Pub Date : 2024-10-10 DOI:10.1016/j.artd.2024.101514
Gideon Jia Wei Cheok MBBCh, BAO (Ire), MRCS (Eng), GDSM (S’pore), Ing How Moo MBBS, MRCS (Ire), MMed (Ortho), FRCS Ortho (Edin)
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Abstract

In orthopaedic surgery, the advancement of surgical techniques aims to enhance patient outcomes and minimize postoperative complications. A notable innovation in this field is the anterior-based muscle-sparing (ABMS) approach to total hip arthroplasty, also known as ABLE or Rottinger approach. ABMS modifies the Watson-Jones approach, using the intermuscular plane between the tensor fascia lata and the gluteus medius to access the hip joint without detaching abductor muscles. This technique offers several benefits including muscle preservation, decreased pain, faster recovery, and lower dislocation rates, similar to the direct anterior approach. However, ABMS distinguishes itself by its lower infection rate, reduced nerve injury risk, easier femoral exposure, and compatibility with various implants. Large-scale studies have confirmed its safety and effectiveness. While mastering the ABMS technique requires some learning, this article provides a concise description of the technique, along with practical insights gained from surgical experience to support safe and effective execution.
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全髋关节置换术中基于前路的肌肉切除方法的手术技巧和窍门
在骨科手术中,手术技术的进步旨在提高患者的治疗效果,最大限度地减少术后并发症。全髋关节置换术中的前路肌肉保留(ABMS)方法(也称 ABLE 或 Rottinger 方法)是这一领域的一项显著创新。ABMS 方法对 Watson-Jones 方法进行了修改,利用张肌筋膜和臀中肌之间的肌间平面进入髋关节,而不分离内收肌。这种技术与直接前入路相似,具有保留肌肉、减轻疼痛、恢复更快、脱位率更低等优点。不过,ABMS 的与众不同之处在于感染率更低、神经损伤风险更小、股骨暴露更容易以及与各种植入物兼容。大规模研究已证实其安全性和有效性。虽然掌握 ABMS 技术需要一定的学习,但本文对该技术进行了简明扼要的描述,并提供了从手术经验中获得的实用见解,以支持安全有效地实施该技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Arthroplasty Today
Arthroplasty Today Medicine-Surgery
CiteScore
2.90
自引率
0.00%
发文量
258
审稿时长
40 weeks
期刊介绍: Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.
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