Total Hip Arthroplasty (THA) with Emphasis on Technical Details

Mastering total hip arthroplasty in complex cases of osteoarthritis with deformity and shortening requires technical precision. This training offers a detailed immersion in the THA procedure, from patient positioning to stability assessment and anatomical closure, focusing on functional restoration and bleeding control.

Training Focus:

• Femoral neck osteotomy and preparation of the medullary canal.
• Patient positioning and delineation of the posterior access.
• Dissection, exposure, and capsulotomy.
• Acetabular preparation for uncemented components.
• Stability testing and definitive insertion of components.
• Anatomical closure and bleeding control.

Detailed Content:

• Strategic Positioning: Methodology for positioning the patient in the lateral decubitus and precise delineation of the posterior access, optimizing exposure and alignment.
• Safe Dissection and Exposure: Blunt dissection approach of the gluteus maximus and controlled exposure of the external rotators, minimizing the risk of injuries.
• Capsulotomy and Guided Dislocation: Capsulotomy technique through the external rotators and controlled dislocation of the hip, facilitating exposure of the femoral head.
• Precise Femoral Osteotomy: Identification of the femoral shoulder and marking for osteotomy, ensuring adequate resection of the femoral head.
• Optimized Acetabular Preparation: Protocols for cleaning fibrotic tissue and osteophytes, identifying the tear drop, and initial vertical milling, preventing "high hip" and ensuring the correct angulation of the implant.
• Anti-varus Femoral Preparation: Techniques for removing residual cortical bone and opening the medullary canal with a box osteotome, ensuring the insertion of the femoral component in valgus and preventing varus.
• Comprehensive Stability Testing: Testing methodology with different sizes of prosthetic heads, evaluating coverage, flexion greater than 90 degrees, and internal rotation without dislocation, for the selection of the ideal implant.
• Definitive Insertion and Controlled Reduction: Approach for impacting the definitive head and reduction with good tissue tensioning and limb length, prioritizing posterior stability.
• Anatomical and Aesthetic Closure: Closure of the capsule and external rotators with transosseous suture, and closure of the iliotibial tract with high-strength thread, promoting stability and aesthetics of the incision.

Included Material:

• Detailed PDF: A comprehensive guide to the procedure, from preoperative planning to postoperative management, including practical tips to optimize each stage of total hip arthroplasty in complex cases. This material complements the visual training, reinforcing technical concepts and strategies for an excellent surgical outcome.

Enhance your skills in hip surgery. Enroll now and master the detailed technique for total hip arthroplasty, directly impacting your surgical results.