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Total hip replacement(Direct anterior approach): Anthology stem and R3 cup(Smith and Nephew)

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Direct anterior approach is increasingly used as a surgical approach for performing primary total hip replacement.

It is possible to use this approach for the majority of primary total hip replacements using either cemented and uncemented implants. Patients with complex anatomy however, such as revision cases, may not be suitable. The direct anterior approach has a learning curve associated with it and for the first 50 cases or so it is recommended that the use of this approach is limited to simple cases in slim patients.

Specialised retractors are essential and in this case un-cemented implants are used. In this technique a regular operating table is used and fluoroscopy is also not required, but it can also be performed using a specialised traction table.

Hip resurfacing  can also be performed through a direct anterior approach although the author continues to use a posterior approach for hip resurfacing.

 

Author: Callum McBryde

Institution: The Royal Orthopaedic Hospital, Birmingham, UK.

Clinicians should seek clarification on whether any implant demonstrated is licensed for use in their own country.

In the USA contact: fda.gov
In the UK contact: gov.uk
In the EU contact: ema.europa.eu

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