Inferior capsule
Superior capsule
Psoas tendon sheath
Gluteus maximus (cut)
Iliotibial band
Posterior capsule
Gluteus
minimus
Gluteus
medius
Gluteus minimus
Gluteus medius
Anterior capsule
Implant
Gluteus
maximus
Iliotibial band
Gemellus inferior
Gemellus superior Piriformis
Obturator
internus
Quadratus femoris
Gluteus
medius
Sciatic nerve
Lateral view of deep infiltrations, left hip (step 1)
Lateral view of muscle/facial infiltration, left hip after deep closure
(step 1 & 2)
Path of Needle Delivering
Local Analgesic
Infiltration Insertion
Subcutaneous
tissue
Hip implant
Dermis
Incision
Gluteus maximus
Iliotibial band
Lateral view of superficial infiltrations, left hip after or during
superficial closure (step 3)
3
Figure 1. THA Posterior Approach