The anatomy of the anterior approach : a cadaver study

dc.contributor.authorMogale, Nkhensani
dc.contributor.authorOlorunju, Steve A.S.
dc.contributor.authorMatshidza, Steven
dc.contributor.authorBriers, Nanette
dc.date.accessioned2018-08-03T11:01:32Z
dc.date.available2018-08-03T11:01:32Z
dc.date.issued2017-08
dc.description.abstractBACKGROUND : This research investigated the anatomy underlying minimally invasive total hip arthroplasty when the anterior approach was used. METHODS : Ninety hips were dissected and in one cadaver, a complete hip replacement was performed. Simulations of the anterior approach surgical incisions were carried by the orthopaedic surgeon in order to see if injury to the lateral femoral cutaneous nerve (LFCN) could be avoided, when the correct anatomical landmarks were palpated. RESULTS : The data analysis revealed significant differences for the mean distances from the pubic tubercle to the straight head of the rectus femoris muscle. Statistical significance was detected for comparisons between males and females, for weight ranges and BMI categories. CONCLUSION : The study findings prove that the concerns relating to the course and distribution pattern of the LFCN and the lateral circumflex femoral artery (LCFA) using the anterior approach, could be overcome when the anatomy of the hip joint and the thigh is understood. However, it is important to note the possible variations in the course of the LFCN and the branching pattern of the LCFA in order to avoid intra-operative bleeding and possible thigh numbness post-surgery.en_ZA
dc.description.departmentAnatomyen_ZA
dc.description.librarianam2018en_ZA
dc.description.urihttps://www.saoa.org.za/publications/saojen_ZA
dc.identifier.citationMogale N, Olorunju SAS, Matshidza S, Briers N. The anatomy of the anterior approach: A cadaver study. SAOJ 2017;16(3):35-40. DOI 10.17159/2309-8309/2017/v16n3a4,en_ZA
dc.identifier.issn1681-150X (print)
dc.identifier.issn2309-8309 (online)
dc.identifier.other10.17159/2309-8309/2017/v16n3a4
dc.identifier.urihttp://hdl.handle.net/2263/66085
dc.language.isoenen_ZA
dc.publisherSouth African Orthopaedic Associationen_ZA
dc.rights© 2017 Mogale N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution Licence.en_ZA
dc.subjectAnterior approachen_ZA
dc.subjectFemoral arteryen_ZA
dc.subjectHip arthroplastyen_ZA
dc.subjectLateral circumflex femoral artery (LCFA)en_ZA
dc.subjectLateral femoral cutaneous nerve (LFCN)en_ZA
dc.subjectHip replacementen_ZA
dc.subject.otherHealth sciences articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.subject.otherHealth sciences articles SDG-17
dc.subject.otherSDG-17: Partnerships for the goals
dc.titleThe anatomy of the anterior approach : a cadaver studyen_ZA
dc.typeArticleen_ZA

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