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Accessory Incisions in the Direct Anterior Approach to Total Hip Arthroplasty

March 01, 2017

Contributors: Stephen Nelson, MD; Tamara John, MD; Kristaps J Keggi, MD

The direct anterior approach (DAA) to total hip arthroplasty (THA) without a traction table provides fast and easy access to the hip joint in thin patients. However with the rising obesity pandemic, femoral and acetabular exposure become exceedingly difficult in muscular and obese patients. Rather than drastically increasing incision and dissection, this video demonstrates possible accessory incisions which facilitate acetabular and femoral preparation and component placement. The goal of the video is to allow surgeons to easily and effectively perform arthroplasty with the use of accessory incisions as needed. Special emphasis is placed on set up, draping, incision, dissection, retractor placement, bone preparation, component positioning, prosthesis placement, and leg length assessment. Each step of the procedure is further clarified with original illustrations.

Results for "Adult Reconstruction"

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