Pioneered by
Reinhold Ganz
Earlier surgical techniques to dislocate the native hip carried the risk of causing avascular necrosis. Reinhold Ganz developed an approach to the hip that allows dislocation and wide exposure of the femoral head and acetabulum with a very low risk of avascular necrosis.
Technique
The approach is through a lateral incision with the patient in the lateral position, followed by a posterior-to-anterior trochanteric flip osteotomy and anterior dislocation of the femoral head.
Key Advantages
- Does not cut any important muscles
- Protects the blood vessels to the femoral head
- Exposes both the femoral head/neck and the acetabulum for all types of surgical techniques
Recovery
Though the incision is long, healing and pain relief are quick, and approach-related complications are minor.
