The Orthobullets Podcast Podiums | Recon | Simplifying the Hip-Spine Relationship Pre-Op Planning
Aug 20, 2025
Dr. George J. Haidukewych, an orthopedic surgeon specializing in hip and knee reconstruction, delves into the complex relationship between the hip and spine. He highlights how these anatomical variations impact surgical planning. The conversation sheds light on innovative tools that enhance surgical precision and reduce complications, making pre-operative planning more effective. Haidukewych also shares insights on navigating these challenges for better patient outcomes.
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Navigation Improves Clinical Outcomes
- Navigation and robotics measurably reduce hip dislocation rates compared with manual placement.
- Using augmented guidance changes clinical outcomes, not just convenience.
Safe Zone Isn’t Universally Safe
- Many dislocations occur despite cups falling in the traditional "safe zone."
- Instability often reflects patient-specific mismatch between cup position and pelvic/spine mechanics.
Pelvic Tilt Alters Functional Cup Position
- Pelvic tilt changes apparent cup orientation between standing and sitting and alters functional version.
- Fixed pelvic deformities or stiff spines make standard targets inappropriate.