The Orthobullets Podcast Podiums | Trauma | Anterior Hip Hemiarthroplasty in 2024 Technique and Outcomes
Sep 1, 2025
Dr. Lee Rubin, a renowned expert in orthopedic surgery, shares insights from a live medical event on anterior hip hemiarthroplasty. He discusses innovative surgical techniques for femur exposure and implant placement, as well as strategies to manage complications effectively. The conversation highlights the importance of patient selection, especially for the elderly, and champions the anterior approach for minimizing dislocation rates. Tune in for valuable perspectives on modern practices in hip surgery!
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Stepwise Femoral Exposure And Capsulotomy
- Expose the hip capsule with an inverted-T capsulotomy and save capsular limbs with stitch-and-tag sutures for retraction and to guide reduction.
- Release medial calcar and lateral axilla, preserve the labrum for suction seal, and use a curved rasp to locate the canal before broaching.
Cementation Technique For Anterior Approach
- Undersize broaches when planning to cement to avoid iatrogenic fractures in osteoporotic bone.
- Use a flexible inserter and canal restrictor for anterior approach cementation and place a large lap sponge in the acetabulum to catch extruded cement.
Using Capsular Sutures To Aid Reduction
- Use the tagged capsular sutures to create a clear pathway and assist reduction by elevating, distracting, internally rotating, and communicating with the team.
- Trial heads first but consider templating and skipping trial to cement then reduce if needed for large hemi heads.