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ABMS Approach for Cementless Total Hip Replacement

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The Anterior-Based Muscle-Sparing Approach to Total Hip Arthroplasty

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Abstract

The anterior-based muscle-sparing (ABMS) cementless total hip arthroplasty follows many of the same workup and principles and relies on the same biologic process for fixation as other approaches to the hip. There are subtle changes to incision, fascial planes, and positioning that can aid placement of certain types of implants, with caution being taken in the elderly and poor bone quality to ensure appropriate fixation of implants. There has been an increase in the use of collared implants to decrease some of the loading and rotational stability to stems which have shown good outcomes. If needed, exposure can be increased to place cables for fracture as well as longer press-fit stems. While there are no contraindications for cementless fixation with ABMS, some stems have shown worse outcomes in certain types of bone morphology.

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Author information

Authors and Affiliations

  1. Adult Reconstruction Division, Department of Orthopedics, University of Virginia, Charlottesville, VA, USA

    Ian Duensing

  2. Syracuse Orthopedic Specialists, Syracuse, NY, USA

    Max Greenky

  3. North Carolina Orthopedic Clinic, Department of Orthopedic Surgery, Duke University, Durham, NC, USA

    Rhett Hallows

Authors
  1. Ian Duensing
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  2. Max Greenky
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  3. Rhett Hallows
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Corresponding author

Correspondence to Rhett Hallows .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, New York Presbyterian-Columbia University Irving Medical Center, New York, NY, USA

    Jeffrey A. Geller

  2. Department of Orthopedic Surgery, Tufts University School of Medicine and Maine Medical Center, Falmouth, ME, USA

    Brian J. McGrory

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© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Duensing, I., Greenky, M., Hallows, R. (2022). ABMS Approach for Cementless Total Hip Replacement. In: Geller, J.A., McGrory, B.J. (eds) The Anterior-Based Muscle-Sparing Approach to Total Hip Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-031-02059-9_7

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  • DOI: https://doi.org/10.1007/978-3-031-02059-9_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-02058-2

  • Online ISBN: 978-3-031-02059-9

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