Anterior (Smith-Petersen) Approach to the Hip

Description

This video presentation, part of the OrthoM8 series led by Harry Benjamin-Laing, focuses on the anterior approach to hip surgery. It begins with a welcome message and an overview of the topic, emphasizing the importance of patient consent, proper marking, anesthetization, and adherence to the WHO checklist.



The speaker describes the necessary positioning of the patient, noting landmarks such as the iliac crest, anterior superior iliac spine, and the lateral border of the patella. The presentation explains key anatomical structures, including the innervation of various muscle groups by the superior gluteal and femoral nerves, and details the surgical dissection techniques.



Superficial dissection is performed between the sartorius and tensor fascia lata, while deep dissection occurs between the rectus femoris and gluteus medius. Special attention is given to the proper detachment and retraction of muscles to expose the hip capsule safely, also pointing out the risk to the lateral femoral cutaneous nerve.



The instructional content further discusses how to extend the incision for bone grafts and notes possible complications such as intraoperative femoral fractures. The session concludes with a call to action for viewers to subscribe, like, and follow the platform on social media.

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