The anterior approach for total hip replacements has recently gained popularity. Some authors report faster recoveries and decreased dislocation rated with no increased risk of complications. However others claim no difference in outcomes when compared to other approaches yet an increase in complication rates. This paper provides a brief history of the approach, discusses various indications an...

A lateral approach, consisting of a modified transversectomy, hemilaminectomy, and adequate transversectomy with costectomy of 7-8 cm, was used to treat four cases of anterior or anterolateral thoracic lesions, including two cases of thoracic disc herniations, one of thoracic meningioma, and one of hypertrophic pachymeningitis. All patients presented with gait disturbance, but recovered well po...

Total hip arthroplasty (THA) can be performed through multiple surgical approaches, including anterior, anterolateral, lateral, transtrochanteric, posterolateral, posterior, and the 2-incision technique. The overwhelming majority of THAs today are performed through a posterolateral approach, which has many advantages: it can be extended without difficulty, it is expeditious, it results in reduc...

A pudendal nerve block is a safe alternative to caudal anaesthesia to provide anaesthesia and/or analgesia for the perineum. It can be considered for a variety of clinical indications in general surgery, obstetrics, urology and chronic pain. The pudendal nerve block has evolved since its first description with respect to techniques (fluoroscopy, neurostimulation and ultrasound) and anatomic ref...

A one-stage anterior approach was performed in four patients for total removal of dumbbell type neurinoma at the cervical level. In each case, the neurinoma compressed the spinal cord in the cervical canal, developed anteriorly through the intervertebral foramen, and compressed the vertebral artery. A conventional cervical anterior approach at the tumor site was performed, followed by confirmat...

PURPOSE To report outcome of axillary nerve neurotisation for brachial plexus injury through the anterior deltopectoral approach. METHODS Nine men aged 20 to 52 (mean, 27.8) years with brachial plexus injury underwent axillary nerve neurotisation through the anterior deltopectoral approach. Three of the patients had complete avulsion of C5-T1 nerve roots. The remaining 6 patients had brachial...

Timothy P. Lovell, MD (Spokane, Washington) presented a review of the literature related to the direct anterior approach at the second annual ICJR Anterior Hip Course hosted by the Methodist Institute for Technology, Innovation, and Education (MITIE) in Houston, Texas.1 Dr. Lovell began by noting that multiple authors have claimed that the direct anterior approach results in less soft tissue da...

acoma aneurysms are complicated and high incidence lesions. the successful treatment depends on understanding the anatomical location of aneurysm. the early surgery and selecting the superior method of surgery and post-operative cares affect the surgical outcomes of these patients. in this study 30 patients who were admitted to firoozgar hospital in a 3-year period (2001-2004), undergone surger...