Table 1. Anatomical Description and Patients Position of the Approaches.
Approach | ALS | DAA | DLA | PA | SA |
---|---|---|---|---|---|
Original articles | Modified Watson-Jones16,13) | Distal part of Smith-Peterson14,15) | Modified Harding16,17) | Moore18,19) | Superior capsulotomy20) |
Anatomical description | Between gluteus medius and tensor fascia latae | Between tensor fascia latae and sartorius | Between fascia latae and gluteus maximus | Splitting of gluteus maximus | Splitting of gluteus maximus |
Dissection of anterior third of gluteus medius and minimus | Incision of piriformis, conjoined tendon and the obturator externus | Between piriformis and gluteus medius | |||
Patients position | Supine | Supine | Lateral | Lateral | Lateral |
Femoral preparation position | Extended 20° | Extended 30° | Flexed 70° | Flexed 70° | Flexed 70° |
adducted 30° | adducted 15° | adducted 20° | adducted 20° | adducted 30° | |
ER 90° | ER 90° | ER 90° | IR 90° | IR 20° |
ALS: anterolateral supine approach, DAA: direct anterior approach, DLA: direct lateral approach, PA: posterior approach, SA: superior approach, ER: external rotation, IR: internal rotation.