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OrthoVellum

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Not affiliated with the Royal Australasian College of Surgeons.

Adult Reconstruction
intermediate
X-Type

Hip Arthroplasty Approach Comparison

Total Hip Arthroplasty

A 68-year-old woman with end-stage osteoarthritis of the left hip is scheduled for total hip arthroplasty. The surgeon discusses approach options with her, including the posterior (Moore/Southern), direct lateral (Hardinge), and direct anterior (Smith-Petersen) approaches. She is concerned about recovery time and dislocation risk. Regarding surgical approaches for total hip arthroplasty:

Mark each as TRUE or FALSE

A

The posterior approach (Moore/Southern) involves splitting the gluteus maximus in line with its fibe...

B

The direct lateral approach (Hardinge/transgluteal) splits the gluteus medius and vastus lateralis i...

C

The posterior approach has the lowest dislocation rate; the direct lateral approach preserves all ab...

D

The direct anterior approach (Smith-Petersen/Hueter) uses the internervous plane between tensor fasc...

E

Approach selection depends on surgeon experience, patient factors, and specific goals; the sciatic n...

Answer the questions to see explanations

Click T (True) or F (False) for each option