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Anterior Approaches Smith-Petersen improved and revived 阐述interest in the anterior iliofemoral 髂骨approach, and now it is used often. TECHNIQUE 1-48 Smith-Petersen ? Begin the incision at the middle of the iliac crest 髂嵴or, for a larger exposure, as 切开整个髂嵴far posteriorly on the crest as desired. Carry it anteriorly to the anterior superior iliac spine and distally and slightly laterally向远侧又稍外一点 10 to 12 cm (Fig. 1-64). ? Divide the superficial and deep fasciae,深浅筋膜 and free离断 the attachments of the gluteus medius 臀中肌and the tensor fasciae latae muscles 阔筋膜张肌from the iliac crest.