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General Orthopaedics

PERFORMING A PRIMARY HIP ARTHROPLASTY

Current Concepts in Joint Replacement (CCJR) – Winter 2012



Abstract

This session will be practically oriented, focusing on important surgical decisions and on technical tips to avoid complications. The panel will be polled concerning individual preferences as regards the following issues in primary total hip arthroplasty:

  1. 1.

    Perioperative antibiotics/blood management/preferred anesthetics

  2. 2.

    Surgical approach for primary total hip arthroplasty: indications or preferences for direct anterior, anterolateral, posterior, less invasive exposures

  3. 3.

    Acetabular fixation

  4. 4.

    Tips for optimising acetabular component orientation

  5. 5.

    Femoral fixation:

    1. (a)

      Indications for cemented and uncemented implants. Case examples will be used.

    2. (b)

      Role of hip resurfacing

  6. 6.

    Femoral head size: Preferred head sizes in different situations.

  7. 7.

    Bearing surface: Present role of different bearings. Case examples will be used.

  8. 8.

    Tips for optimising intra-operative hip stability

  9. 9.

    Tips for optimising leg length

  10. 10.

    Post-operative venous thromboembolism prophylaxis

  11. 11.

    Heterotopic bone prophylaxis

  12. 12.

    Post-operative pain management

  13. 13.

    Post-operative rehabilitation protocol: weight bearing, role of physical therapy

  14. 14.

    Post-operative activity restrictions

  15. 15.

    Post-operative antibiotic prophylaxis for procedures