Krismer M, Nogler M
Abteilung für experimentelle Orthopädie, Universitätsklinik für Orthopädie, Medizinische Universität, Anichstrasse 35, 6020, Innsbruck, Österreich.
Orthopade. 2017 Feb;46(2):121-125. doi: 10.1007/s00132-016-3376-0.
The direct anterior approach to the hip allows good exposure of acetabulum and periacetabular bones. For simple acetabular revisions it can be chosen to be small (minimally invasive); in the case of extensive periacetabular bone loss exposure of the entire ilium cranial of the acetabulum may be achieved, and the pubic bone as well as inner-pelvic structures adjacent to the acetabulum can be exposed. The internerval plane of the approach between muscles innervated by the femoral nerve and the gluteal nerves allows exposure of the ilium without endangering the nerve supply of gluteal muscles.
髋关节直接前路可良好暴露髋臼和髋臼周围骨骼。对于简单的髋臼翻修术，可选择小切口（微创）；对于髋臼周围广泛骨丢失的情况，可暴露髋臼上方的整个髂骨，以及耻骨和髋臼附近的盆腔内部结构。该入路在股神经和臀神经支配的肌肉之间的神经间隙平面，可暴露髂骨而不危及臀肌的神经供应。
