Minimally Invasive Approaching in Hip Surgery—An Anatomical Investigation of 20 Specimens

Schopper, Clemens; Traxler, Hannes; Schauer, Bernhard; Hipmair, Günter; Gotterbarm, Tobias; Luger, Matthias

doi:10.3390/medicina57111283

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Minimally Invasive Approaching in Hip Surgery—An Anatomical Investigation of 20 Specimens

by

Clemens Schopper

^1,*

,

Hannes Traxler

²,

Bernhard Schauer

¹,

Günter Hipmair

¹,

Tobias Gotterbarm

¹ and

Matthias Luger

¹

Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Krankenhausstrasse 9, 4020 Linz and Altenberger Strasse 69, 4040 Linz, Austria

²

Centre for Anatomy and Cellbiology, Department of Anatomy, Medical University Vienna, Waehringerstrasse 13, 1090 Vienna, Austria

^*

Author to whom correspondence should be addressed.

Medicina 2021, 57(11), 1283; https://doi.org/10.3390/medicina57111283

Submission received: 20 October 2021 / Revised: 11 November 2021 / Accepted: 20 November 2021 / Published: 22 November 2021

(This article belongs to the Special Issue Hip and Fragility Fracture Management)

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Abstract

Background and objectives: Based on the preparation of 20 formalin-fixed anatomical cadavers, the feasibility of the anterior, minimally invasive approach to the hip joint was investigated in each side of the body. The hypothesis of the study was that the Lateral Femoral Cutaneous Nerve can be spared under the use of this approach. Materials and Methods: The anterior approach to the hip was performed via an incision of 8 cm. The position of the nerve was noticed in relation to the skin incision, and the distance was measured in millimeters. The nerves main, gluteal and femoral trunk were distinguished and investigated for injury. Results: No injury of the main trunk was noticed. The average distance of the main trunk to the skin incision was 14.9 and 15.05 mm in the medial direction, respectively (p < 0.001). Injury of the gluteal branch has to be considered at an overall rate of 40%. Conclusions: The anterior, minimally invasive approach to the hip joint can be performed without injury of the Lateral Femoral Cutaneous Nerve.

Keywords: hip surgery; minimal invasive approach; anterior approach; Lateral Femoral Cutaneous Nerve; hip replacement; cervical neck fracture

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MDPI and ACS Style

Schopper, C.; Traxler, H.; Schauer, B.; Hipmair, G.; Gotterbarm, T.; Luger, M. Minimally Invasive Approaching in Hip Surgery—An Anatomical Investigation of 20 Specimens. Medicina 2021, 57, 1283. https://doi.org/10.3390/medicina57111283

AMA Style

Schopper C, Traxler H, Schauer B, Hipmair G, Gotterbarm T, Luger M. Minimally Invasive Approaching in Hip Surgery—An Anatomical Investigation of 20 Specimens. Medicina. 2021; 57(11):1283. https://doi.org/10.3390/medicina57111283

Chicago/Turabian Style

Schopper, Clemens, Hannes Traxler, Bernhard Schauer, Günter Hipmair, Tobias Gotterbarm, and Matthias Luger. 2021. "Minimally Invasive Approaching in Hip Surgery—An Anatomical Investigation of 20 Specimens" Medicina 57, no. 11: 1283. https://doi.org/10.3390/medicina57111283

APA Style

Schopper, C., Traxler, H., Schauer, B., Hipmair, G., Gotterbarm, T., & Luger, M. (2021). Minimally Invasive Approaching in Hip Surgery—An Anatomical Investigation of 20 Specimens. Medicina, 57(11), 1283. https://doi.org/10.3390/medicina57111283

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Minimally Invasive Approaching in Hip Surgery—An Anatomical Investigation of 20 Specimens

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