Total Hip Arthroplasty (THA) for Femoral Neck Fracture (Posterior Approach)

Master the treatment of femoral neck fractures in elderly patients. This training offers a technical immersion in Total Hip Arthroplasty (THA) via posterior access, addressing each surgical step in detail.

Training Focus

• Treatment of femoral neck fractures with Total Hip Arthroplasty.
• Technique through posterior access for THA.
• Intraoperative management for optimization of exposure and implantation.

Detailed Content

• Strategic Positioning: Understanding the importance of lateral decubitus positioning and hip flexion to optimize the surgical field and exposure.
• Precise Anatomical Dissection: Systematic approach to skin incision, management of the iliotibial tract, and identification of the external rotators, while preserving structures such as the piriformis.
• Capsulotomy: Execution of the capsulotomy adjacent to the posterior border of the femur, facilitating the excision of the fractured femoral head.
• Acetabular Preparation: Methodology for the removal of the femoral head, progressive milling for ideal press-fit, and insertion of the acetabular component with correct angulation and safety screws directed to the ceiling.
• Controlled Femoral Preparation: Techniques for positioning the leg and using anatomical references (calcar) for control of anteversion, with precise removal of residual cortical bone to prevent varus of the component.
• Stability Testing and Reliable Reduction: Protocols for testing the press-fit and the stability of the prosthesis, ensuring the tensioning of soft tissues and the length of the limbs before the insertion of the definitive components.
• Anatomical Restorative Closure: Approach to closing the capsule and reinserting the external rotators, culminating in the closure of the iliotibial tract.
• Optimized Surgical Outcomes: Assessment of a clean surgical outcome, with proper positioning of components, ideal length and offset, and absence of varus.

Included Material:

• Detailed PDF: A concise and technical guide that complements the training, addressing crucial points of positioning, incision, dissection, capsulotomy, dislocation, acetabular and femoral preparation, reduction testing, and closure, with a focus on practical tips for optimizing the procedure.

Enhance your skills in Total Hip Arthroplasty. Enroll now and master the posterior access techniques for the treatment of femoral neck fractures.