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

Training Focus:

• Treatment of femoral neck fractures with Total Hip Arthroplasty.
• Posterior approach technique for THA.
• Intraoperative management for optimizing 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 band, and identification of external rotators, with preservation of structures like the piriformis.
• Capsulotomy: Execution of capsulotomy adjacent to the posterior border of the femur, facilitating the excision of the fractured femoral head.
• Acetabular Preparation: Methodology for femoral head removal, progressive reaming for ideal press-fit, and insertion of the acetabular component with correct angulation and safety screws directed towards the dome.
• Controlled Femoral Preparation: Techniques for leg positioning and utilization of anatomical references (calcar) for antiversion control, with precise removal of residual cortical bone to prevent component varus.
• Stability Test and Reliable Reduction: Protocols for testing press-fit and prosthesis stability, ensuring soft tissue tensioning and limb length before definitive component insertion.
• Restorative Anatomical Closure: Approach to capsule closure and reinsertion of external rotators, culminating in iliotibial band closure.
• Optimized Surgical Outcomes: Evaluation of a clean surgical outcome, with proper component positioning, 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 procedure optimization.

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