Approach flexibility
Allows the surgeon to choose a supine or lateral patient position.
The ABLE Advanced Anterior Approach is a minimally invasive, muscle-sparing approach with no barriers to adoption, complementing a value-based system of limiting healthcare spend while supporting patient outcomes and recovery.1
The approach was first described by Sayre in 1854 who used the Tensor Fasciae Lata (TFL)/gluteus medius interval for the treatment of septic hip arthritis in a 9-year-old patient.2 It has since been modified, first by Watson-Jones3 and more recently by Bertin and Rottinger,1 who used the lateral decubitus position with the surgeon standing in front of the patient.
Allows the surgeon to choose a supine or lateral patient position.
No weight or BMI patient limitations as the lateral position option allows the pannus to fall forward, and in the supine position the incision is lateral to the inguinal fold so the pannus should not affect wound healing.
A pegboard (for lateral approach), standard retractors and compatible with our implant portfolio.
Intermuscular interval through a small incision preserves muscle integrity while facilitating rapid rehabilitation and, combined with the posterior capsule remaining intact, it helps to greatly reduce posterior dislocation rates.4
