par Danis, André 
Référence Acta orthopaedica Belgica (Ed. bilingue), 39, 4, page (658-663)
Publication Publié, 1973
Référence Acta orthopaedica Belgica (Ed. bilingue), 39, 4, page (658-663)
Publication Publié, 1973
Article révisé par les pairs
| Résumé : | For hip arthroplasty through a lateral or anterolateral approach one must sever the insertion of Gluteus medius or cut the tip of the greater trochanter. In both cases, the recovery of Gluteus medius power may be incomplete or at least delay rehabilitation. Simultaneously conservation of the proximal and distal insertions on the greater trochanter which has to be cut is proposed. By flexing the hip it is easy to reflect anteriorly the gluteus medius, the detached greater trochanter and the vastus lateralis to expose the capsule and perform an arthroplasty. At the end of the operation, the greater trochanter is fixed with a wire suture; the downward traction on the vastus lateralis tends to keep the trochanteric fragment in place by opposing the gluteus medius. |
