Direct Anterior Total Hip Replacement with Robotic Assistance

Description

The video depicts a surgical procedure led by Dr. Elizabeth Gausden, focusing on the installation of a hip replacement using a Mako robotic system. The setup involves a Hana table with the patient's feet secured in boots, allowing for a clear view of the surgical area which is prepared using shower curtains and IM bands. Gausden emphasizes the importance of checking impingement analysis using specialized software, detailing the procedure to ensure optimal positioning of the implant components while minimizing surprises during surgery. She addresses the anatomical structures she encounters, performing incisions with precision to access the hip joint.



During the surgery, she discusses the need for careful manipulation of tissue to avoid damage, using various retractors to maintain a clear view of the surgical field. Gausden describes her approach to securing the joint components, and takes care to address bleeding vessels and other concerns, often consulting X-ray images for accurate placement of the implants. She highly values minimal degrees of invasiveness, prioritizing the patient's recovery and preserving as much surrounding tissue as possible. The procedure concludes with meticulous attention to closure and ensuring healthy tissue reattachment, marking a successful hip replacement operation.

Specialties