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

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HSS Journal

Abstract

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.

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Acknowledgments

We are grateful to the Research Foundation of Hospital General Universitario Gregorio Marañón in Madrid and Mr. Thomas O′Boyle for editorial support.

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Authors and Affiliations

  1. Hospital General Universitario Gregorio Marañón, Madrid, Spain

    Manuel Villanueva-Martínez MD, PhD

  2. Hospital USP-San Jose, Madrid, Spain

    Manuel Villanueva-Martínez MD, PhD & Ángel Villamor-Pérez MD, PhD

  3. Hospital USP-Virgen del Mar, Almería, Spain

    Antonio Ríos-Luna MD, PhD

  4. Departamento de Neurociencias y Ciencias de la Salud, Universidad de Almería, Almería, Spain

    Antonio Ríos-Luna MD, PhD

  5. C/ Velayos nº 2, 1º C, 28035, Madrid, Spain

    Manuel Villanueva-Martínez MD, PhD

Authors
  1. Manuel Villanueva-Martínez MD, PhD
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  2. Antonio Ríos-Luna MD, PhD
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  3. Ángel Villamor-Pérez MD, PhD
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Corresponding author

Correspondence to Manuel Villanueva-Martínez MD, PhD.

Additional information

A video showing this technique has been included at the Educational Media Electronic Library of the AAOS. (76th AAOS Meeting, Las Vegas 2009). Both the video and this study are dedicated to the memory of Richard S. Laskin, MD, for his teachings and humanity.

Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution either has waived or does not require approval for the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

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Villanueva-Martínez, M., Ríos-Luna, A. & Villamor-Pérez, Á. A Simple Technique for Alignment in Total Hip Resurfacing Arthroplasty: Technical Note and Preliminary Report. HSS Jrnl 5, 129–136 (2009). https://doi.org/10.1007/s11420-009-9117-8

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  • DOI: https://doi.org/10.1007/s11420-009-9117-8

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