A method and apparatus for performing a minimally invasive total hip
arthroplasty. An approximately 3.75-5 centimeter (1.5-2 inch) anterior
incision is made in line with the femoral neck. The femoral neck is
severed from the femoral shaft and removed through the anterior incision.
The acetabulum is prepared for receiving an acetabular cup through the
anterior incision, and the acetabular cup is placed into the acetabulum
through the anterior incision. A posterior incision of approximately 2-3
centimeters (0.8-1.2 inches) is generally aligned with the axis of the
femoral shaft and provides access to the femoral shaft. Preparation of
the femoral shaft including the reaming and rasping thereof is performed
through the posterior incision, and the femoral stem is inserted through
the posterior incision for implantation in the femur. A variety of novel
instruments including an osteotomy guide; an awl for locating a posterior
incision aligned with the axis of the femoral shaft; a tubular posterior
retractor; a selectively lockable rasp handle with an engagement guide;
and a selectively lockable provisional neck are utilized to perform the
total hip arthroplasty of the current invention.