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A Simple Technique for Alignment in Total Hip Resurfacing Arthroplasty
Manuel Villanueva, MD, PhD, Madrid, Spain; Angel Villamor, MD, Madrid, Spain; Antonio Rios-Luna, MD, PhD, Madrid, Spain; Homid Fahandezh-Saddi, MD, Madrid, Spain; Javier Pereiro, MD, Madrid, Spain; Felipe Benito, MD, Madrid, Spain
Publisher: American Academy of Orthopaedic Surgeons
A Simple Technique for Alignment in Total Hip Resurfacing ArthroplastyOrthopedics & Orthopedic Surgery

Area of Focus: Joint Replacement and Hip, Knee & Lower Extremity

Correctly positioning the alignment wire with respect to the femoral neck is the key to the proper functioning and survival of hip resurfacing arthroplasty. The wire must aligned in two planes. However, to control more than one plane at a time, the surgeon must move or change the wires position or rely on the indications of an assistant. This video shows a simple technique to align both planes. This approach to correctly positioning our references is based on the anatomy of the femur and the application of a basic trigonometric principle: the intersection of two different planes always defines a single line.

Independent placement of two parallel alignment wires, one for valgus orientation and another for version orientation, determines two planes. At the intersection of these planes, the surgeon can establish both the optimum entrance point into the femoral head and the orientation line of the alignment wire. The video demonstrates how to define these planes with marks on the neck and head and with Kirschner wires, which prolong these usually insufficient marks, to make them clear, reliable, and visible.

The technique is simple, reliable, and versatile. It can be used as an isolated step or in combination with the alignment instruments of different systems. With the wire inserted, the surgeon can control both planes without sophisticated systems or pre-operative radiographs. This simple technique reduces surgery time, minimizes errors, and accelerates the learning curve.

VideoDisc A Simple Technique for Alignment in Total Hip Resurfacing Arthroplasty

$158.00  
Format NTSC Video Format
Medium DVD
ISBN 9780892036080
Copyright Year 2009
Video Length 20 Minutes
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