The evolution of the posterior approach in hip surgery: Back to Langenbeck

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The posterior approach to the hip joint, introduced by Dr. Bernhard von Langenbeck in 1868, is considered the gold standard in total hip replacement surgery.
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Von Langenbeck's technique evolved from battlefield experiences, aiming to reduce amputations and improve outcomes for soldiers with hip injuries.
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His longitudinal incision technique preserved important anatomical structures, allowing for better functional recovery after hip joint resection.
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The historical review highlights the contributions of von Langenbeck and his successors, showcasing the evolution of posterior approaches over 150 years.
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This review emphasizes the importance of understanding historical surgical techniques to inform modern practices in hip surgery.

Langenbeck's Archives Of Surgery

by Diederik R. de Boer, Roelina Munnik – Hagewoud, Frank F. A. IJpma, Pieter B. A. A. van Driel, Harmen B. Ettema
February 17, 2026

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