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Modified Posterior Approach to The Hip Joint- Surgical Technique

Vol. 10 | Issue 2 | August-September 2022 | Page: 51-57 | Krishna Mohan Iyer

DOI: https://doi.org/10.13107/jkoa.2022.v10i02.055


Authors: Krishna Mohan Iyer [1]

[1] Department of Orthopaedics, Royal Free Hampstead NHS Trust Hospital, London, UK.

Address of Correspondence

Dr. Krishna Mohan Iyer,
Senior Consultant Orthopaedic Surgeon, Retired and Formerly Locum Consultant, Royal Free Hampstead NHS Trust Hospital, London, UK.
E-mail: kmiyer28@hotmail.com


Abstract


There are more than 100 described cases in literature. I had devised a Modified Posterior Approach to the Hip Joint, which I have been following since 1981 when I had devised it at Liverpool, UK to confer greater stability to the hip joint posteriorly to minimize the greater incidence of dislocation which has been reported extensively in literature.
Keywords: Hip, Posterior Trochanteric Osteotomy, Surgical technique


References


1. Chechik O, Khashan M, Lador R, et al. Surgical approach and prosthesis fixation in hip arthroplasty worldwide. Arch Orthop Trauma Surg. 2013; 133: 1595–600.
2. Enocson A, Tidermark J, Törnkvist H, Lapidus LJ. Dislocation of hemiarthroplasty after femoral neck fracture: better outcome after the anterolateral approach in a prospective cohort study on 739 consecutive hips. Acta Orthop. 2008; 79(2): 211–217.
3. Experience with Thompson’s prosthesis using the New Posterior Approach – K. Mohan Iyer, M.A. Shatwell and M.A. Elloy, Injury,1982, 14, 243-244.
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5. Incidence of piriformis tendon preservation on the dislocation rate of total hip replacement following the posterior approach A Series of 226 cases* http://www.lebanesemedicaljournal.org/articles/60-1/original3.pdf Charbel D. Moussallem, Fadi A. Hoyek, Jean-Claude F. Lahoud.
6. Modified technique in the dorsal approach in total hip arthroplasty by Ragnar Johnsson, Einar Hallin, Bertil Nordström, Lars Lidgren in Archives of Orthopaedic and Trauma Surgery. 09/1981; 99(1): 43-45.
7. Mark B.Coventry, The Year Book of Orthopaedics, 1982, 371-373.
8. A Posterior Approach to the Hip Joint with complete posterior capsular and muscular repair: Hedley et al, The Journal of Arthroplasty, 1990, Vol.5, Supplement, October 1990: S 57 to S 66.
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14. Deepa Iyer The Orthopaedic Enigma: A Simplified Classification. The Internet Journal of Orthopaedic Surgery, 2006, Vol 3, Number 2.
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18. Charnley J: The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg Br 1972; 54:61.
19. Charnley J: Arthroplasty of the hip: a new operation. Lancet 1961; 1:1129.
20. Iyer KM. Technical note on Modified Posterior Approach to the Hip Joint. Journal of Orthopaedic Case Reports 2015 Jan-March; 5(1): 69-72.
21. The Open Orthopaedics Journal, 2017, 11, (Suppl-7, M7) 1223-1229.
22. Access to the Ischium: A Simple Extension of the Posterior Approach in Revision Hip Arthroplasty by Friedrich Boettner. [Hospital for Special Surgery] and Kilian Rueckl. [University of Wuerzburg] in The Journal of Hip Surgery May 2018 02(01).
23. Technical Note on Modified Posterior Approach to the Hip Joint: Journal of Orthopaedic Case Reports Jan 2015 5(1): 69-72.
24. Surgical Approaches for Primary Total Hip Arthroplasty from Charnley to Now The Quest for the
Best Approach by Vinay K. Aggarwal, Richard Iorio, Joseph D. Zuckerman, and William J. Long.
25. Modified PLOP Osteotomy Approach to the Hip by Xiaoxiao Zhoua and Yang Yangb in BMC Musculoskelet Disorder 2020 Feb 24; 21(1): 119.
26. F. H. Beddow, C. Tulloch (1990). Rheumatoid Arthritis Surgical Society-Clinical Experience with the Iyer modification of the Posterior Approach to the Hip, The Journal of bone and joint surgery British volume, 73B, Suppl II:164-165.
27. Zhang Y, Tang Y, Zhang C, Zhao X, Xie Y, Xu S (2013). Modified posterior soft tissue repair for the prevention of early postoperative dislocation in total hip arthroplasty, Int Orthop, 37(6), 1039-1044.
28. Stuchin SA, Millman JS (2011). Oblique posterior trochanteric osteotomy in revision total hip arthroplasty, The Journal of arthroplasty, 26(3), 472-475.
29. K. Mohan Iyer (2017). Int J Surg & Trans Res.1,6:59-52. [Bio Core: International Journal of Surgery and Transplantation Research: ISSN:2476-2504; Open Access]
30. Heutor’s Anterior Approach to the Hip Joint. EC Orthopaedics 9.1 (2017) 03-06.
31. The Direct Anterior Approach to the Hip Joint. Ortho Res Online J.3(3) OPROJ 000565.2018 [Crimson Publishers (Orthopaedic Research Online Journal) [ISSN:2576-8875].
32. Iyer K. Mohan (2018), Direct Anterior Approach to the Hip Joint, Lambert academic publishing, Germany.
33. Chapter No.17 in my book “Hip Joint in Adults: Advances and Developments”: Direct Anterior Approach to the Hip Joint, by John O’Donnell, Melbourne Australia.
34. Chapter no.18 in my book “Hip Joint in Adults: Advances and Developments”: “Total hip in a day, setup and early experiences in outpatient hip surgery”, by Dr. med. Manfred Krieger and and Dr. med. Ilan Elias, Wiesbaden, Frankfurt, Germany.
35. Chapter No.28 in my book Hip Preservation Techniques The anterior approach to the hip for a minimally invasive prosthesis by Alessandro Geraci, MD, PhD; Alberto Ricciardi, MD Orthopaedic Department, San Giacomo Apostolo Hospital, Castelfranco Veneto, Italy.
36. Chapter No.29 in my book General Principles of Orthopaedics and Truama (2nd edition by K. Mohan Iyer & Wasim Khan), The Direct Anterior approach to the Hip by Hiran Amarasekera.
37. My website: kmohaniyer.com: (https://kmohaniyer.com)


How to Cite this article: Iyer KM | Modified Posterior Approach to The Hip Joint- Surgical Technique | Journal of Karnataka Orthopaedic Association | August-September 2022; 10(2): 51-57.
https://doi.org/10.13107/jkoa.2022.v10i02.055

 


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