naa a22 4500 510760457 CHVBK 20180411083137.0 cr unu---uuuuu 180411e20130701xx s 000 0 eng 10.1007/s11420-013-9332-1 doi (NATIONALLICENCE)springer-10.1007/s11420-013-9332-1 MAASH Technique for Total Hip Arthroplasty: A Capsular Work [Elektronische Daten] [Felipe Delgado, Albert Broch, Francisco Reina, Lluís Ximeno, David Torras, Francesc García, Antoni Salvador] Background: Dislocation and leg length discrepancy are major complications following total hip arthroplasty (THA). Many surgical approaches for THA have been described, but none suggest a capsular incision that assures good exposure while maintaining adequate capsule integrity in closure. Purposes: Modified anterolateral approach for stable hip (MAASH) is a modification of the classical Hardinge approach, but specifically preserves the anterior iliofemoral lateral ligament and pubofemoral ligament excising the "weak area” of the capsule, in the so called "internervous safe zone” and introducing the "box concept” for the anterior approach to the hip. This is the main difference of the MAASH approach. This technique can be used as a standard for all THA standard models, but we introduce new devices to make it easier. Methods: From November 2007 to May 2012, data were collected for this observational retrospective consecutive case study. We report the results of 100 THA cases corresponding to the development curve of this new concept in THA technique. Results: MAASH technique offers to hip surgeons, a reliable and reproducible THA anterolateral technique assuring accurate reconstruction of leg length and a low rate of dislocation. Only one dislocation and six major complications are reported, but most of them occurred at the early stages of technique development. Conclusion: MAASH technique proposes a novel concept on working with the anterior capsule of the hip for the anterolateral approach in total hip arthroplasty, as well as for hemiarthroplasty in the elderly population with high dislocation risk factors. MAASH offers maximal stability and the ability to restore leg length accurately. The Author(s), 2013 hip arthroplasty nationallicence hip approach nationallicence anterior hip capsule nationallicence THA stability nationallicence leg length discrepancy nationallicence hip capsule anatomy nationallicence Delgado Felipe Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut Broch Albert Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut Reina Francisco Medicals Sciences Department, NEOMA Group Research, Faculty of Medicine, University of Girona, Girona, Catalonia, Spain aut Ximeno Lluís Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut Torras David Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut García Francesc Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut Salvador Antoni Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut HSS Journal ® Springer US; http://www.springer-ny.com 9/2(2013-07-01), 171-179 1556-3316 9:2<171 2013 9 11420 https://doi.org/10.1007/s11420-013-9332-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11420-013-9332-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Delgado Felipe Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut NATIONALLICENCE 700 1- Broch Albert Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut NATIONALLICENCE 700 1- Reina Francisco Medicals Sciences Department, NEOMA Group Research, Faculty of Medicine, University of Girona, Girona, Catalonia, Spain aut NATIONALLICENCE 700 1- Ximeno Lluís Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut NATIONALLICENCE 700 1- Torras David Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut NATIONALLICENCE 700 1- García Francesc Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut NATIONALLICENCE 700 1- Salvador Antoni Orthopedic and Trauma Department of the Hospital de Sant Celoni, Av. Hospital, 19, 08470, Sant Celoni, Barcelona, Catalonia, Spain aut NATIONALLICENCE 773 0- HSS Journal ® Springer US; http://www.springer-ny.com 9/2(2013-07-01), 171-179 1556-3316 9:2<171 2013 9 11420 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer