Total Hip Arthroplasty – Posterior Approach (04)

Master the Technique That Reduces Dislocation and Instability Rates Through Robust Posterior Repair and Precise Component Positioning

Post-THA dislocation and instability remain significant complications when subsequent repair or component alignment fails. This training covers the posterior approach technique with piriformis preservation, uncemented implants, press-fit acetabular fixation, stability testing, and capsular repair — all captured in 4K from the surgeon's perspective.

Training Focus:

• Anatomical posterior approach with piriformis preservation
• Controlled osteotomy and optimized acetabular exposure
• Acetabular preparation with press-fit cup and posterosuperior screw fixation
• Liner positioning with 10° lip orientation
• Femoral preparation with uncemented stem and acoustically guided broaching
• Dynamic stability tests and soft tissue assessment
• Transosseous capsular repair and functional closure of the iliotibial tract

Detailed Content:

• Piriformis preservation and robust transosseous repair of capsule/rotators to reduce dislocation risk and reinforce the posterior envelope
• Reliable press-fit acetabular fixation with circumferential reaming, ceiling-directed screws, and posterosuperior 10° lip liner for enhanced stability
• Reproducible femoral sequence using “cortical grip” acoustic criteria to standardize broach progression and stem implantation
• Dynamic validation protocol with >90° flexion and internal rotation tests, tissue tension adjustment, and length verification before final reduction
• Efficient exposure system (Hohmann + posts) that accelerates access and minimizes soft tissue trauma, with iliotibial tract closure in abduction

Included Material:

Complete Technical PDF: includes X-rays, patient positioning, anatomical landmarks, instruments, stability criteria, decision algorithms, and postoperative care guidelines.

Enhance the safety and outcomes of your posterior approach total hip arthroplasties. Enroll now and master a complete protocol from access to closure — with dynamic stability validation documented in 4K.