STAR Approach THA

Description

In this instructional video, Dr. Peter K Sculco, an orthopedic surgeon at the Hospital for Special Surgery, presents the STAR approach (Superior Transverse Anatomic Reconstruction) for total hip arthroplasty. The STAR approach offers a minimally invasive technique that preserves essential muscles and soft tissue structures, thus minimizing involvement with the iliotibial band and quadratus femoris.



The procedure begins with patient positioning in the lateral decubitus position while marking anatomical landmarks, including the greater trochanter and the femur. Dr. Sculco carefully demonstrates incision placement that allows for optimal exposure while preserving surrounding soft tissues. Throughout the operation, emphasis is placed on maintaining tissue integrity and minimizing trauma to the surrounding musculature.



The video details various stages of the surgery, including careful dissection through layers such as the gluteus maximus and the joint capsule. Dr. Sculco highlights the importance of controlling soft tissue tension to ensure joint stability and proper mechanics. Anatomic visualization of critical structures like the piriformis tendon and the conjoin tendon is provided, illustrating the importance of preserving these key components for functional recovery post-surgery.



As the procedure advances, Dr. Sculco discusses surgical nuances such as acetabular reaming and femoral broaching, ultimately preparing for component insertion. Testing for joint stability and assessing soft tissue tension through various mobility tests are integral parts of the postoperative assessment protocol he outlines. The operative goal is to achieve a stable hip joint with minimal risk of dislocation while ensuring that soft tissue structures maintain their integrity and functionality.



In conclusion, the video emphasizes the effectiveness of the STAR approach while showcasing meticulous surgical techniques aimed at improving patient outcomes following total hip replacement surgeries.

Specialties