The Röttinger approach for total hip arthroplasty: technique, comparison to the direct lateral approach and review of literature

Annals of Translational Medicine
Ronald E DelanoisMichael A Mont

Abstract

Multiple approaches to the hip joint have been developed utilizing various intervals and/or intermuscular planes when performing a total hip arthroplasty (THA), each proposing certain advantages. Of these, the Röttinger approach (modified anterolateral or Watson-Jones) is potentially muscle-sparing. Multiple studies have demonstrated favorable outcomes with this approach. However, others showed more complications with a slow learning curve. Due to the paucity of evidence we conducted this study to: (I) present our operative experience and technique of the Röttinger approach; (II) compare short-term complications and operative room (OR) times of this approach to the direct lateral; and (III) review the available literature. This was a review of a longitudinally maintained single-surgeon database of patients who underwent primary THA using either the Röttinger or direct lateral approach. A total of 100 consecutive patients (100 hips) who underwent primary unilateral THA using the Röttinger approach between April 1st, 2012 and April 30th, 2015 were identified. These patients were compared to another cohort of 147 consecutive patients (147 hips) who underwent the procedure using the direct lateral approach (of Hardinge). The operat...Continue Reading

Citations

Oct 5, 2018·International Orthopaedics·Roberto CivininiMassimo Innocenti
Sep 1, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Youngwoo KimJean Yves Lazennec
Aug 8, 2019·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Nicole E GeorgeRonald E Delanois

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