Each of the previously noted approaches is intended to achieve joint arthrotomy. Most of the procedures for which they are performed involve femoral head dislocation. (Figure 9.10.) For those surgeries not involving prosthetic replacement there is an attendant risk of developing osteonecrosis. Arthrotomy of the joint requires an inpatient hospital stay and a potentially extended rehabilitation course. For major joint reconstruction or bone grafting these postoperative sequelae are readily justified. For the patient with a symptomatic loose body or labral tear, however, these open techniques are less advantageous. It is for this reason that, however difficult, minimally invasive approaches to the hip joint have been developed.
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