9781975221973
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DESCRIPTION
In recent years,the Direct Anterior Approach(DAA) has become a fundamental componentof hip reconstruction in modern orthopaedic surgical practice. The Direct Anterior Approach to Hip Reconstruction, 2nd Edition, is a practical,how-to guide that addresses patient anatomy, surgical techniques, and risk avoidance using the anterior approach. A distinguished group of international experts in the field, along withDrs. Lee E. Rubin, B. Sonny Bal, and Joseph T. Moskal, continue the pioneering work of Dr. Kristaps J. Keggi in this thoroughlyupdated and expanded second edition.
TABLE OF CONTENTS
Section I
Introduction
1.Introduction
2. ADefinitive History of the Direct Anterior Approach
3. Why ISwitched to the Direct Anterior Approach: Expert Practice Perspectives From Leading Surgeons
Section II
Fundamental
4. SurgicalAnatomy of the Anterior Hip and Thigh
5.Indications for the Direct Anterior Approach
6. DirectAnterior Approach for Hip Replacement: The Learning Curve
7. Trainingand Education for the Direct Anterior Approach
8. SupineDirect Anterior Approach Technique Without Traction
9. DirectAnterior Approach With Modular Table Attachment andTraction Boot
10. DirectAnterior Approach With the Mizuho OSI Hana Table
11. DirectAnterior Approach in the Lateral Decubitus Position
12. TheBikini Incision for the Direct Anterior Approach
13.Transitioning From Traction to No Traction With theDirect Anterior Approach
Section III
IntermediateDirect Anterior Approach Topics
14. Role ofFluoroscopic Imaging and Image Guidance
15.Managing Obesity in the Direct Anterior Approach
16.Robotic-Assisted and Computer Navigation in the Direct Anterior Approach
17.Simultaneous Bilateral Direct Anterior Approach
18.Avoiding Intraoperative Femur Fractures
19.Cementing the Femoral Stem Using the Direct Anterior Approach: Indications andTechnique
20. DirectAnterior Approach in the Lumbar-Sacral Fusion Patient: EOS Considerations
21. DirectAnterior Approach in the Young, High-Demand Patient
Section IV
Advanced/RevisionSurgery Topics
22. AModified Extensile Anterior Approach to the Acetabulum and Anterior Column
23. DirectAnterior Approach and Its Distal Extension
24. Headand Liner Revision Surgery via the Direct Anterior Approach
25. Removalof the Acetabular Component Through the Direct Anterior Approach
26.Acetabular Augments, Cage Reconstructions, and Custom Triflanges
27.Management of Recurrent Instability via the Direct Anterior Approach
28. HipArthrodesis Takedown via the Direct Anterior Approach
29. HipResection Arthroplasty via the Direct Anterior Approach
30.Replacing the Dysplastic Hip via the Direct Anterior Approach
31. Femoraland Acetabular Osteotomies for the Direct Anterior Approach
Section V
Applicationof the Direct Anterior Approach Across OrthopedicSpecialties
32. Trauma:The Use of the Direct Anterior Approach for Hip Fractures
33. Trauma:Acetabular Fractures and Pelvic Discontinuity via the Direct Anterior Approach
34. Trauma:Conversion of Prior Acetabular and Femoral Surgery via the Direct AnteriorApproach
35. Trauma:Hip Hemiarthroplasty via the Direct Anterior Approach for Geriatric Fractures
36. Pediatric Orthopaedics: Use of the Direct Anterior Approachin Children and Adolescents
37. HipPreservation: Surgical Techniques via the Hueter Anterior Approach
38.Oncology: Tumor Reconstruction of the Hip andProximal Femur With the Direct Anterior Approach
39. SportsMedicine: Mini-Open Direct Anterior Approach, Management of FemoroacetabularImpingement, and Open-Assisted Arthroscopic Management
40. PhysicalTherapy: Updated Guidelines, Protocols, Restrictions, and Telerehabilitation
Section VI
OutpatientArthroplasty and Case Efficiency Using the Direct Anterior Approach
41.Defining Same-Day Criteria: Knowing When to Change Course
42.Multimodal Pain Control, Enhanced Recovery After Surgery, and Rapid RecoveryProtocols for the Direct Anterior Approach
43. Anesthesia and Regional Blockade Techniques for the DirectAnterior Approach
44. HighlyEfficient Direct Anterior Approach: The Pathway to Outpatient Hip Replacement
45.Operating Room Efficiency for Preparation, Drape, and Room Utilization With the Direct Anterior Approach
46.Self-Sufficiency for the Direct Anterior Approach: Using Self-RetainingRetractor Systems
47.Designing Outpatient Program and Perioperative Support Resources
Section VII
Literatureand Outcomes
49. DirectAnterior Approach Outcome Trends From NationalDatabases
50.Patient-Reported Outcomes With the Direct AnteriorApproach
51.Delivering The Patient Experience With the Direct Anterior Approach
52.Economics, Cost Considerations, and Strategic Program Development Using theDirect Anterior Approach
SectionVIII
FutureDirections and Conclusion
53.Evolution of Stem Design and Direct Anterior ApproachSpecific Technologies
54. DirectAnterior Approach Research Trends
55. LegalLiability in Adopting New Technologies in Clinical Practice
56. TheAustralian Experience: Evaluating Approach-Based Outcomes
57. TheCosta Rican Experience: Incorporating the Direct Anterior Approach in GlobalSurgery Practice
58. TheIndian Direct Anterior Approach Experience
59. Conclusion
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