ORTHOPAEDICS

ABLE◊ Advanced Anterior Approach

A minimally invasive, muscle-sparing approach with no barriers to adoption

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The ABLE Approach

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.


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  1. Bertin KC, et al. Clin Orthop Relat Res. 2004;248–255.
  2. Sayre LA. New York: Holman, Gray & Co.; 1854.
  3. Watson‐Jones R. British Journal of Surgery. 1936;23:787-808.
  4. Hansen BJ, et al. Curr Rev Musculoskelet Med. 2011;4:132-138.

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