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. 2020 Feb 7;9(2):e239–e245. doi: 10.1016/j.eats.2019.10.003

Table 2.

Advantages and Disadvantages for Anterior Approach Versus Trochanteric Flip Osteotomy

Advantages Disadvantage
  • Intermuscular plane, with minimal damage to the muscles.

  • Avoidance of the MFCA, the major blood supply to the femoral head and neck.

  • Avoidance of a trochanteric osteotomy with possible non- or malunion of osteotomy.

  • Avoidance of hardware for osteotomy fixation or need for hardware removal.

  • Encountering scar tissue in cases of previous surgery via anterior approach or prior arthroscopy.

  • Limited access to posteroinferior quadrant of femoral head.

  • Limited access to acetabulum and labrum.

MFCA, medial femoral circumflex artery.