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Adult Reconstruction
intermediate
X-Type

Total Hip Arthroplasty Approaches

Hip Replacement Surgery

A 62-year-old woman with end-stage hip osteoarthritis is discussing surgical options for total hip arthroplasty. She is active, has no significant medical comorbidities, and wants to understand the differences between surgical approaches. Her surgeon uses both posterior and direct anterior approaches depending on patient factors. Regarding surgical approaches for total hip arthroplasty:

Mark each as TRUE or FALSE

A

The posterior approach (Moore/Southern) uses the interval between gluteus maximus and the short exte...

B

The direct anterior approach (DAA/Smith-Petersen) uses the intermuscular plane between tensor fascia...

C

The posterior approach has the lowest dislocation rate; the direct anterior approach cuts through gl...

D

The direct lateral (Hardinge) approach splits gluteus medius and vastus lateralis; it provides excel...

E

Cup position is critical regardless of approach: target anteversion 15-25 degrees, abduction (inclin...

Answer the questions to see explanations

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