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Lateral via trochanteric flip

Once the cut is completed, the trochanter can be moved in continuity with anterior soft-tissue structures and the gluteus medius.

An osteotome is initially used to lift the fragment, and the remaining anterior periosteum and the remaining part of the gluteus medius are cut using an inside-out technique.

The osteotome is then replaced by a Hohmann retractor, the tip of which is inserted around the anterior aspect of the femur as shown in the illustration.

A smooth retractor holds the gluteus minimus in a posterior direction, allowing the insertion of the tendon at the greater trochanter to be seen clearly.

The gluteus minimus is sharply dissected from the capsule and detached from the intertrochanteric region, followed by dissection of the proximal part of the vastus lateralis from the femur.