Treatment of ankylosis of the hip joint by formation of a false joint. Vreden (V. Chir., vol. 24, 1926)

The author's technique is as follows: the skin incision begins from the middle of the cristae ilei, 1 cm below it, and runs parallel to it to the sp. il. ant. sup.; from here the incision goes down vertically and passing half of the thigh length, it turns at right angles to the outer surface of the thigh to its middle; the outlined skin flap is cut off and folded outward, exposing the broad femoral fascia and troch. major. Then they penetrate at the sp. il. ant. sup. into the space between tensor fasciae latae and gluteus, médius and, descending along the anterior edge of the latter, dissect the broad fascia to the apex of the greater trochanter, then make an incision through the fascia, running along the edges of the skin defect, rising along its medial edge to the muscle belly of tensoris fasciae latae. The fascial-muscular flap outlined in this way is cut off and folded upward and inward, serving as material for interposition in the future.