Surgical Pearls for Hip Replacement in Patients with Obesity

Description

In this technical presentation, Dr. Daniel Pincus discusses his experiences and practices related to performing total hip arthroplasties in patients with high body mass index (BMI). He shares insights from his journey, including his training in Toronto and Vancouver, as well as his adaptation to challenges during the pandemic starting in 2020. Dr. Pincus emphasizes the importance of treating high BMI cases as unique opportunities, detailing his approach to surgical preparation, patient selection, and the need for additional resources during operations. He highlights research indicating that experience with high-BMI patients correlates with better surgical outcomes, even when the overall volume of hip surgeries is low among most surgeons. He discusses the intricacies of surgery on high BMI patients, such as positioning, exposure techniques, and the importance of using appropriate surgical tools and assistance. Throughout the presentation, Dr. Pincus reinforces the lessons learned from real patient cases and the significance of collaboration among surgical teams in managing complex scenarios, while also addressing postoperative care strategies for high-risk patients.

DOI: 10.1302/3114-240539

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