McFarland and Osborne lateral or posterolateral approach to hip. A, Skin incision. B, Gluteal fascia and iliotibial band are divided in midlateral line. C, Incision is made to bone obliquely across trochanter and distally in vastus lateralis. D, Combined muscle mass consisting of gluteus medius and vastus lateralis with their tendinous junction is elevated and retracted anteriorly. E, Tendon of gluteus minimus is split and divided before retraction proximally. F, Capsule has been opened to expose joint. (From McFarland B, Osborne G: Approach to the hip: a suggested improvement on Kocher’s method, J Bone Joint Surg 36B:364, 1954.) SEE TECHNIQUE 1.69.