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The deep layer of the tractus iliotibialis and its relevance when using the direct anterior approach in total hip arthroplasty: a cadaver study.

Authors
  • Putzer, David1
  • Haselbacher, Matthias2
  • Hörmann, Romed3
  • Klima, Günter4
  • Nogler, Michael5
  • 1 Department of Orthopaedic Surgery, Experimental Orthopaedics, Medical University of Innsbruck, Innrain 36, 6020, Innsbruck, Austria. [email protected] , (Austria)
  • 2 Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. , (Austria)
  • 3 Division of Histology and Embryology, Department of Anatomy, Histology and Embryology, Medical University of Innsbruck, Müllerstrasse 59, 6020, Innsbruck, Austria. , (Austria)
  • 4 Division of Clinical and Functional Anatomy, Department of Anatomy, Histology and Embryology, Medical University of Innsbruck, Müllerstrasse 59, 6020, Innsbruck, Austria. , (Austria)
  • 5 Department of Orthopaedic Surgery, Experimental Orthopaedics, Medical University of Innsbruck, Innrain 36, 6020, Innsbruck, Austria. , (Austria)
Type
Published Article
Journal
Archives of orthopaedic and trauma surgery
Publication Date
Dec 01, 2017
Volume
137
Issue
12
Pages
1755–1760
Identifiers
DOI: 10.1007/s00402-017-2820-x
PMID: 29032422
Source
Medline
Keywords
License
Unknown

Abstract

The length of the deep layer is dependent on the TFL, since the profound part of the iliotibial band reaches from the TFL to the hip-joint capsule. The deep layer covers the hip-joint capsule, rectus, and lateral vastus muscles in the DAA interval. To access the precapsular fat pad and the hip-joint capsule, the deep layer has to be split in all approaches that use the direct anterior interval.

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