Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 25886
A SURVEY OF PREFERRED METHOD OF DIRECT LATERAL APPROACH TO
THE HIP
John TAYLOR 1 , AJ Shyam KUMAR 1 , SKS WONG 2 , AS ASTER 1 , JG ANDREW 2
1 Warrington Hospital, Manchester (UNITED KINGDOM), 2 Ysbyty Gwynedd Hospital,
Bangor (UNITED KINGDOM)
The Hardinge approach to the hip was originally described in 1982. Since then
subsequent modifications have been described by several authors. In our region, the
senior author has encountered an increasing number of bald trochanters at revision
hip surgery, of which primary surgery was by the modified Hardinge approach. We
conducted a survey of all Orthopaedic trainees in the Wales and Oswestry
orthopaedic higher specialist training programme by email questionnaire. A total of
84 trainees were contacted with a response rate of 45%. Of those who responded,
98% preferred the modified Hardinge approach to the hip compared to 2% who
preferred the Hardinge approach. From the sample survey in these two training
regions it is clear that trainees favour the modified Hardinge approach. We have
reviewed the literature to highlight the scientific basis for the superiority of the
hardinge approach as originally described. It is our view Trainees should be more
familiar with, and have more exposure to this technique.
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