Mastering total hip arthroplasty in complex cases of osteoarthritis with deformity and shortening demands technical precision. This training offers a detailed immersion into 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 medullary canal preparation.
• Patient positioning and posterior approach delimitation.
• Dissection, exposure, and capsulotomy.
• Acetabular preparation for uncemented components.
• Stability testing and definitive component insertion.
• Anatomical closure and bleeding control.

Detailed Content:

• Strategic Positioning: Methodology for lateral decubitus patient positioning and precise delimitation of the posterior approach, optimizing exposure and alignment.
• Safe Dissection and Exposure: Approach to blunt dissection of the gluteus maximus and controlled exposure of the external rotators, minimizing the risk of injury.
• Capsulotomy and Guided Dislocation: Technique for capsulotomy through the external rotators and controlled hip dislocation, facilitating femoral head exposure.
• 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, identification of the teardrop, and initial vertical reaming, preventing "high hip" and ensuring correct implant angulation.
• Anti-Varus Femoral Preparation: Techniques for removing residual cortical bone and opening the medullary canal with a box osteotome, ensuring valgus insertion of the femoral component and preventing varus.
• Comprehensive Stability Test: Methodology for testing with different prosthetic head sizes, evaluating coverage, flexion greater than 90 degrees, and internal rotation without dislocation, for optimal implant selection.
• Definitive Insertion and Controlled Reduction: Approach for impaction of the definitive head and reduction with good soft 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 band with high-strength suture, promoting stability and incision aesthetics.

Included Material:

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

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