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K Mohan Iyer

K Mohan Iyer

Senior Orthopaedicians, India

Title: Modified posterior approach to the hip joint

Biography

Biography: K Mohan Iyer

Abstract

The posterior approach is the most common and relatively easy to expose the hip joint. The posterior approaches allow excellent visualization of the acetabulum and the upper femoral shaft and hence, are very popular in revision joint replacement surgery particularly in cases where only the femoral component needs to be replaced. This modification offers greater visibility and decreased blood loss to the hip joint, conferring greater stability posteriorly as compared with the conventional posterior approach as described by Austin Moore in 1957. This modification was devised at the time when the cause of dislocation was being blamed on the posterior approach to the hip joint. This approach has been tested on cadavers prior to clinical application in patients, and since bone is attached to bone, it confers greater stability than an ordinary suture through soft tissues and hence reduces dislocation of the hip joint.