Executive Editor: Fergal Monsell General Editor: Chris Colton

Authors: Andrew Howard, James Hunter, Theddy Slongo

Pediatric proximal femur 31-E/8 Removal of osteochondral fragment

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Anterior approach

The anterior approach provides the most direct access to the anterior aspect of the hip. Many surgeons prefer this approach for reduction of femoral head and neck fractures.


Anterolateral approach

The anterolateral approach to the proximal femur, through the interval between the gluteus medius and minimus muscles and tensor fascia lata, provides access to the hip joint at the lateral proximal femur. This approach is adequate for fracture fixation and application of a plate onto the lateral aspect of the femur.


Lateral via trochanteric flip

Lateral approach via trochanteric flip is a variant of the surgical hip dislocation approach, which is indicated in children for intracapsular fractures when dislocation is not appropriate.


v1.0 2017-12-04