Description
In this presentation, Michael Whitehouse discusses the nuances and debates surrounding various surgical approaches to hip intervention, particularly focusing on the posterior approach. He reflects on his unsuccessful attempts to secure funding for a trial, emphasizing the general consensus on existing methods while noting the intrigue and complexity they bring to the field. Throughout the presentation, he shares practical surgical advice, including the anatomy relevant to the posterior approach, the importance of incision size, and minimizing complications by avoiding unnecessary enlargement of incisions. Whitehouse explores the benefits of maintaining the integrity of the abductor mechanism and discusses the significance of surgical techniques in ensuring proper alignment and preventing complications like sciatic nerve damage. He underscores the relevance of existing literature, stresses the importance of clinical outcomes, and reveals trends in post-operative complications, mortality, and patient-reported outcomes. The talk culminates in advocating for the posterior approach as a reliable, extensile technique, while cautioning practitioners about the learning curves associated with alternative methods.