Video Collection: NAHKS 2019

Dr Andrew Noble examines the role of design rationale and coating in total hip arthroplasty, and how to choose the right solution. Overviewing different cemented and cementless designs, he assesses how implant types influence factors such as subsidence, fixation and stability. Using evidence and patient case studies, Dr Noble shares a detailed review of the ANTHOLOG™, SYNERGY™ and POLARSTEM™ implants, before concluding with a summary of tips for implant choice.

Dr David Rovinsky lectures on leg length discrepancy and instability in total hip replacement. Covering key surgical and risk factors, he discusses preoperative templates, offset restoration and ideal component positioning. With guidance for implant choice, he discusses capsular preservation and achieving accurate fluoroscopy. Dr Rovinsky explains how to compensate for pelvic pitch and tilt, before sharing thoughts on future developments in digital navigation.

Dr Robert Kennon discusses the benefits of hip resurfacing with the BIRMINGHAM HIP™ Resurfacing System. He details the advantages of resurfacing in restoring natural anatomy, and how to select suitable patients. Dr Kennon shares key considerations around metal sensitivity, fracture risk and optimal positioning, with guidance for postoperative rehabilitation, before concluding with a brief surgical demonstration and relevant registry data.

Dr Matt Phillips demonstrates anterior-based limited (ABLE) hip revision using a modified, supine Watson-Jones approach. With guidance for incision and femoral head removal, he analyses key anatomy and relevant ligamentous structures. After discussing preparation of the acetabulum, and optimal orientation and fixation of implants, Dr Philips outlines intraoperative assessment for function and leg length. Moderated by Dr Brian McGrath, a Q&A session highlights useful tips and how the procedure differs from other approaches.