Modified Hardinge Approach for Lesser Complications

Kalyanasundaram, Sivaprasad; Krishnathas, Krishanth

doi:10.18410/jebmh/2020/318

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…As in other anterolateral approaches, the hip is dislocated anteriorly, maintaining vascularity to the femoral head, but this approach minimizes trochanteric morbidity associated with other lateral-based exposures. [43][44][45][46] We created a minimal trochanteric sleeve in our approach to limit morbidity while allowing bone healing following transosseous repair with #2 diameter sutures.…”

Section: Figure 3 Postoperative Imaging (A) Computed Tomography (Ct) ...mentioning

confidence: 99%

Novel Allograft in the Load-Bearing Portion of the Femoral Head

Renshaw,

Duru,

Assid

et al. 2023

TOJ

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Background: An osteochondral defect in the hip can be a painful and limiting pathologic process. The damaged joint may progress into premature osteoarthritis, further limiting a patient's functionality. Case Report: A 24-year-old male presented to the clinic with left hip pain. The patient had been involved in a motor vehicle accident 3 years prior to presentation to our clinic. His injury from the high-speed accident required intramedullary rod fixation for a right-sided (contralateral) subtrochanteric femur fracture. The patient complained of left groin pain when in a sitting position, with activities of daily living, and with exercise. He failed conservative management consisting of nonsteroidal anti-inflammatory drugs and physical therapy. Imaging on presentation demonstrated an osteochondral defect in the weight-bearing portion of the left femoral head consistent with an International Cartilage Repair Society grade 4b lesion, a cam lesion was noted on assessment of bone morphology, and magnetic resonance imaging revealed degenerative labral pathology. The patient was treated with surgical hip dislocation through a modified Hardinge approach, femoral head osteochondral allograft transplantation using a Missouri Osteochondral Preservation System (MOPS) graft, acetabuloplasty, femoral neck osteoplasty, and open labral repair. Conclusion: Femoral head osteochondral MOPS allograft transplantation is a viable technique for joint preservation in young patients with posttraumatic osteochondral defects of the femoral head.

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Section: Figure 3 Postoperative Imaging (A) Computed Tomography (Ct) ...mentioning

confidence: 99%

Novel Allograft in the Load-Bearing Portion of the Femoral Head

Renshaw,

Duru,

Assid

et al. 2023

TOJ

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“…Posterior approach is the go-to surgery at present mostly. 6 The anterolateral approach (Watson-Jones) utilizes the intermuscular plane between the tensor fasciae latae and gluteus medius. 7 The lateral approach includes separating the vastus lateralis and gluteus medius insertions, which are attached after prosthesis implantation into their original position.…”

Section: Introductionmentioning

confidence: 99%

Prospective study comparing early functional outcome and gait analysis in femoral neck fracture treated by cemented hemiarthroplasty using modified Hardinge approach and conventional posterior approach

et al. 2022

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Background: A prospective study was done to compare the outcomes of management of fracture neck of femur by cemented hemiarthroplasty using modified Hardinge approach and conventional posterior approachMethods: The 2019 to 2022 50 patients underwent bipolar hemiarthroplasty for femoral neck fracture. Group A (Femoral neck fracture treated using conventional posterior approach) and group B (Femoral neck fracture treated using modified Hardinge approach) with 25 patients in each group. Outcomes were evaluated based on mean surgical time and Harris hip score and SF-36.Results: Mean duration of surgery in minutes was more for modified Hardinge approach. Harris hip score with standard deviation for modified Hardinge Approach for follow-ups was better and statistically significant than posterior approach. Similarly, quality of life after surgery, in terms of mean SF-36 score with standard deviation for modified Hardinge approach was better and statistically significant than posterior approach. Modified Hardinge approach has fewer complications in comparison to the posterior approach. With the advantages comes a longer learning curve to operate without complications. Hence, with proper surgical technique, and proper tight closure, we prefer the modified Hardinge approach over other approaches as it had nil dislocations and abductor lurch.Conclusions: Modified Hardinge approach for hip arthroplasty in elderly people with femoral neck fracture provide significant benefit in the early post operative period when compared to conventional posterior approach in terms of post operative pain, time of recovery, dislocation rate and quality of life.

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Modified Hardinge Approach for Lesser Complications

Cited by 2 publications

References 21 publications

Novel Allograft in the Load-Bearing Portion of the Femoral Head

Novel Allograft in the Load-Bearing Portion of the Femoral Head

Prospective study comparing early functional outcome and gait analysis in femoral neck fracture treated by cemented hemiarthroplasty using modified Hardinge approach and conventional posterior approach

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