Journal
CURRENT REVIEWS IN MUSCULOSKELETAL MEDICINE
Volume 4, Issue 3, Pages 146-150Publisher
SPRINGER
DOI: 10.1007/s12178-011-9090-y
Keywords
SuperPATH; PATH; SuperCap; Micro-superior; Hip; Total; Arthroplasty; Minimally-invasive; Micro-posterior; Micro-invasive; Replacement; Percutaneous; Assisted; Direct-posterior; Direct
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Because of the extensile nature and familiarity of the standard posterior-lateral approach to the hip, a family of micro-posterior approaches has been developed. This family includes the Percutaneously-Assisted Total Hip (PATH) approach, the Supercapsular (SuperCap) approach and a newer hybrid approach, the Supercapsular Percutaneously-Assisted Total Hip (SuperPATH) approach. Such approaches should ideally provide a continuum for the surgeon: from a micro (external rotator sparing) posterior approach, to a mini (external rotator sacrificing) posterior approach, to a standard posterior approach. This could keep a surgeon within his comfort zone during the learning curve of the procedure, while leaving options for complicated reconstructions for the more practiced micro-posterior surgeons. This paper details one author's experiences utilizing this combined approach, as well as permutations of this entire micro-posterior family of approaches as applied to more complex hip reconstructions.
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