433 - Supine Anterior Total Hip Replacement

JANUARY 2020 | The Surgical Technologist | 11 SupineAnterior Total Hip Replacement Heather Everett, cst, csfa L E A R N I N G O B J E C T I V E S s Review the anatomy that is affected during this procedure s Determine who the ideal patient is for a supine anterior total hip replacement s List the equipment and instrumentation needed for this procedure s Examine the procedural steps for this operation s Discuss the benefits of this approach versus the posterior approach T his method has become increasingly popular over the last 15 years due to the push for tissue sparing, minimally invasive pro- cedures and medical innovations that make this option easier and faster. Evidence suggests that the anterior supine approach has less of a dislocation rate early on, and as long as six weeks post-op as com- pared to the posterior approach. After the six-week mark, the anterior and posterior approaches have a similar recovery and dislocation rate. The selection process for this procedure is more rigorous then the pos- terior approach. The ideal patient for a supine anterior total hip replace- ment has a BMI of less than 30, is active, flexible, and non-muscular, has a valgus femoral neck and a good femoral offset. This approach also can be used for hip revisions and hemiarthoplasties. There are many products on the market that make the anterior approach total hip replacement a faster and easier procedure. A fracture Supine anterior total hip replacement is quickly becom- ing a common procedure in today’s operating room. In 1881, Carl Hueter described the approach and then Marius Smith- Peterson expanded and published the idea in 1917. In 1980, TR Light and KJ Keggi are credited with expanding the idea and adding the use of a fracture table in 1985.