Executive Editor: Joseph Schatzker, Peter Trafton

Authors: Ernst Raaymakers, Inger Schipper, Rogier Simmermacher, Chris van der Werken

Proximal femur

back to skeleton

Glossary

Lateral approach

Lateral approach

The lateral approach is used for insertion of a sliding hip screw or multiple screws after closed reduction of a proximal femoral fracture. The incision can be extended proximally to accommodate a trochanteric stabilizing plate.

Nailing approach

Nailing approach

IM nails for A-type proximal femur fractures enter through the top of the greater trochanter. However, the precise entry point in the greater trochanter depends on the design of the nail.

Posterolateral approach

The posterolateral approach can be used for hip arthroplasty.

Anterolateral approach

The anterolateral approach (Watson-Jones) provides somewhat limited access to the hip joint along with the lateral proximal femur and can be used for open reduction of displaced femoral neck fractures, and some femoral head fractures. 

The anterior approach (Iliofemoral or Smith-Peterson) provides the most direct access to the anterior aspect of the hip.

Iliofemoral approach

The anterior approach (Iliofemoral or Smith-Peterson) provides the most direct access to the anterior aspect of the hip.

Make a longitudinal incision through skin and subcutaneous tissue, with its proximal end directed slightly posteriorly.

Direct lateral approach

The direct lateral approach, usually done with the patient in lateral decubitus position, is excellent for hemiarthroplasty or uncomplicated primary total hip arthroplasty, and can be also be used for some femoral head fractures.

v3.0 2017-02-01