الفهرس 
VASCULAR ANATOMY OF THE HIP JOINT
The Nutrient ArteryOnly 14 pages are availabe for public view
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Abstract
Is it easy to full visualize the almost 360° of the femoral head
and also the acetabulum?!; Yes we can do it by using the
surgical hip dislocation. Orthopedic specialists who are not
acquainted with this methodology might be worried about the
possibility of avascular necrosis of the femoral head. However,
precise learning of the vascular anatomy around the hip joint
calms the surgeon.
The deep branch of the MFCA is the primary source for
the vascuarity to the head of the femur which is protected by
the tendon of the obturator externus muscle. The artery is in
safe zone as long as the trochanteric flip osteotomy is done
anterior to the short rotators.
The dislocation of the hip joint could be performed by
other approaches. However, the Ganz approache has several
advantages including:
Abductor detachment done by a trochanteric flip osteotomy
and a rigid fixation of this flip fragment restores immediate
stability and allows for early mobilization of the patient
The MFCA is protected by leaving all the external rotator
muscles intact.
Intraoperative monitoring of perfusion of the femoral head
is possible.Surgical dislocation produces an anterior dislocation using
low -grade controlled trauma.
A little morbidity is associated with the technique and it
permits the treatment of numerous conditions, which may not
react well to different strategies. Safe surgical dislocation
introduce a new knowledge about the pathology of some hip
disorders and also the ability of preserving the hip with
techniques such as cartilage transplantation.
Hip arthroscopy is picking up prominence in the
management of hip disease. Later on and with more experience,
progression in surgical abilities and the developments in
instrumentation, arthroscopy might overcome the surgical hip
dislocation approach. A further studies is needed to get well
knowledge about the Indications, advantages and disadvantages of
the surgical hip dislocation in comparison with hip arthroscopy.