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General Orthopaedics

PERFORMING A PRIMARY HIP ARTHROPLASTY

Current Concepts in Joint Replacement (CCJR) Spring 2016



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: Perioperative antibiotics/blood management/preferred anesthetics; Surgical approach for primary total hip arthroplasty: indications or preferences for direct anterior, anterolateral, posterior; Acetabular fixation; Tips for optimizing acetabular component orientation; Femoral fixation: Indications for cemented and uncemented implants. Case examples will be used. Is there still a role for hip resurfacing?; Femoral head size: Preferred head sizes and materials in different situations. Is there a role for dual mobility implants in primary THA?; Bearing surface: Present role of different bearings. Case examples will be used.; Tips for optimizing intra-operative hip stability; Tips for optimizing leg length; Post-operative venous thromboembolism prophylaxis; Heterotopic bone prophylaxis; Post-operative pain management; Post-operative rehabilitation protocol: weight bearing, role of physical therapy; Post-operative activity restrictions; Post-operative antibiotic prophylaxis for procedures.