Original Article

HSS Journal

, Volume 5, Issue 2, pp 129-136

First online:

A Simple Technique for Alignment in Total Hip Resurfacing Arthroplasty: Technical Note and Preliminary Report

  • Manuel Villanueva-MartínezAffiliated withHospital General Universitario Gregorio MarañónHospital USP-San Jose Email author 
  • , Antonio Ríos-LunaAffiliated withHospital USP-Virgen del MarDepartamento de Neurociencias y Ciencias de la Salud, Universidad de Almería
  • , Ángel Villamor-PérezAffiliated withHospital USP-San Jose

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The functioning and survival of hip resurfacing arthroplasty depends on correct positioning and alignment of the implant. Correct positioning of the femoral alignment wire with respect to the femoral neck is the key to avoiding complications. Although the surgeon must align the wire in two planes, we can only control one plane at a time without changing position or relying on the indications of an assistant. Independent placement of two parallel alignment wires, one for varus-valgus orientation and another for version orientation, will help to determine two planes, the valgus sagittal plane and the version coronal plane, at the intersection of which both the optimum point of entry into the femoral head and the orientation line of the femoral alignment wire can be established. The marks on the neck and head and Kirschner wires following these marks define the planes. This simple technique allows us to reduce surgery time, minimize errors, and speed up the learning curve. It can be used with any type of resurfacing arthroplasty.


resurfacing alignment technique hip arthroplasty