[The medial approach for total hip replacement].

BACKGROUND

In an anatomical study we investigated the medial approach to the hip joint and developed the surgical technique for patients with hip joint replacement.

MATERIAL AND METHODS

The temporary detachment of the adductor longus tendon allows a perfect exposure of the surgical site without risk of damaging important structures.

RESULTS

The operation is possible with normal instruments. The blood loss is little.

CONCLUSION

The abductor apparatus (gluteal muscles and fascia lata) and the superior gluteal nerve remain intact. Immediate lateral positioning is allowed after surgery. The scar is unremarkable.