Femoral vein blood flow during a total hip arthroplasty using a modified heuter approach

Rachel E. Mednick, Hasham M. Alvi*, Courtney E. Morgan, Michael D. Stover, David W. Manning

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Several modifications to traditional surgical approaches for total hip arthroplasty (THA) have been introduced in an attempt to improve upon minimally invasive approaches and enhance short-term recovery. However, minimally invasive approaches are not without risk, including that of postoperative venous thromboembolism (VTE). There has been no published literature evaluating the femoral vein during an anterior approach. We aimed to study femoral vein blood flow using duplex ultrasonography during THA performed through a modified Heuter approach. Peek flow and vessel cross-sectional area were affected by limb position as well as acetabular and femoral retractor placement. No VTE was observed, but there was observed femoral vein compression, which may represent a risk of postoperative VTE similar to that seen in standard surgical approaches for THA.

Original languageEnglish (US)
Pages (from-to)786-789
Number of pages4
JournalJournal of Arthroplasty
Issue number5
StatePublished - May 1 2015


  • Modified heuter approach
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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