Executive Editor: Fergal Monsell General Editor: Chris Colton

Authors: Andrew Howard, James Hunter, Theddy Slongo

Pediatric proximal femur 31-M/3.1 III Open reduction, pediatric hip locking plate

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Glossary

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.

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Lateral approach

The lateral approach is indicated in the following situations:

  1. In combination with an anterior approach for the insertion of screws or a pediatric hip locking plate
  2. For the open and closed reduction and stabilization of extracapsular fractures
  3. For stabilization of nondisplaced intracapsular fractures
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Transgluteal approach

The transgluteal approach to the proximal femur, between the anterior and medial part of the gluteus medius, provides access to the hip joint at the lateral proximal femur.

This approach is adequate for fracture reduction with K-wire, screw or plate fixation and is indicated in the following situations:

  • Open reduction and stabilization of extracapsular neck fractures
  • Stabilization of nondisplaced but complete intracapsular fractures
proceed

v1.0 2017-12-04