Orthopaedic Hip Surgery Course

Lesson 1 • Hip Joint Biomechanics

Analyses joint reaction forces, moment arms, and load distribution across the hip during gait. Provides the mechanical rationale for implant design choices and reconstruction goals.

Lesson 2 • Neurovascular Structures at Risk

Maps the femoral, sciatic, and obturator nerves relative to surgical corridors. Enables surgeons to anticipate and avoid neurovascular injury during approach and retraction.

Lesson 3 • Pathoanatomy of Common Hip Disorders

Contrasts normal anatomy with deformities seen in osteoarthritis, dysplasia, and femoroacetabular impingement. Prepares students to recognise anatomical distortion before surgical intervention.

Lesson 4 • Soft Tissue Anatomy Around the Hip

Identifies capsular ligaments, labrum, and periarticular musculature critical to surgical approach selection. Connects soft tissue knowledge to intraoperative tissue preservation strategies.

Lesson 1 • Radiographic Evaluation of the Hip

Teaches standardised radiograph acquisition and systematic measurement of key angular parameters. Accurate radiographic analysis underpins templating and implant selection.

Lesson 2 • Advanced Imaging Modalities

Applies CT and MRI to characterise bone stock, cartilage integrity, and soft tissue pathology. Advanced imaging findings directly modify surgical strategy and implant choice.

Lesson 3 • Medical Optimisation and Risk Stratification

Identifies and mitigates modifiable risk factors including cardiac, metabolic, and haematologic conditions. Systematic optimisation reduces perioperative morbidity and implant failure risk.

Lesson 4 • Digital Templating and Implant Sizing

Performs digital templating to predict component size, position, and leg length restoration. Templating accuracy reduces operative time and improves reconstruction precision.

Lesson 1 • Direct Anterior Approach

Covers the Smith-Petersen interval, traction table use, and fluoroscopic guidance for anterior hip arthroplasty. Addresses the learning curve and complication profile unique to this approach.

Lesson 2 • Minimally Invasive and Muscle-Sparing Techniques

Examines two-incision, mini-posterior, and SuperPATH approaches with their tissue-sparing rationale. Evaluates evidence for accelerated recovery against technical complexity.

Lesson 3 • Posterior Approach Technique

Details patient positioning, skin incision, and stepwise deep dissection through the posterior capsule. Establishes the most widely used approach as the technical reference standard.

Lesson 4 • Approach-Related Complications and Prevention

Identifies nerve palsy, abductor failure, and wound complications specific to each approach. Prevention strategies are linked directly to the technical steps taught in prior sections.

Lesson 1 • Venous Thromboembolism Prophylaxis

Selects and doses pharmacologic and mechanical VTE prophylaxis based on patient risk stratification. Balances thrombosis prevention against bleeding risk in the postoperative period.

Lesson 2 • Blood Conservation and Transfusion Management

Applies tranexamic acid, preoperative optimisation, and cell salvage to minimise allogenic transfusion. Blood conservation strategies are evidence-graded and matched to patient risk profiles.

Lesson 3 • Enhanced Recovery After Surgery Protocols

Implements ERAS pathways including preoperative carbohydrate loading, early feeding, and same-day mobilisation. ERAS integration reduces hospital stay and accelerates functional recovery.

Lesson 4 • Anaesthesia Options for Hip Surgery

Compares general, spinal, and epidural anaesthesia for hip arthroplasty with respect to outcomes and recovery. Anaesthesia selection is integrated with surgical approach and patient comorbidities.

Lesson 1 • Femoral Canal Preparation and Stem Fixation

Teaches broaching sequence, calcar preparation, and cementless versus cemented stem insertion. Proper femoral preparation ensures primary stability and long-term osseointegration.

Lesson 2 • Intraoperative Stability and Leg Length Assessment

Applies trial reduction, range-of-motion testing, and soft tissue tension evaluation before final implantation. Intraoperative verification prevents postoperative instability and length discrepancy.

Lesson 3 • Wound Closure and Immediate Postoperative Care

Details layered closure, drain management, and immediate mobilisation protocols after primary arthroplasty. Proper closure and early mobilisation reduce complications and accelerate recovery.

Lesson 4 • Bearing Surface Selection and Assembly

Compares polyethylene, ceramic, and metal bearing options by wear, fracture, and noise profiles. Bearing choice is matched to patient age, activity level, and anatomy.

Lesson 1 • Hip Instability and Dislocation

Analyses patient, implant, and technical factors contributing to postoperative dislocation. Applies closed reduction, bracing, and revision strategies based on dislocation etiology.

Lesson 2 • Aseptic Loosening and Implant Failure

Identifies radiographic and clinical signs of aseptic loosening, osteolysis, and bearing wear. Determines timing and strategy for revision based on bone loss severity and patient factors.

Lesson 3 • Periprosthetic Joint Infection

Diagnoses acute and chronic periprosthetic infection using serology, synovial fluid analysis, and culture. Guides staged surgical management from debridement to two-stage exchange arthroplasty.

Lesson 4 • Neurovascular and Soft Tissue Complications

Manages nerve palsy, vascular injury, heterotopic ossification, and wound complications after hip surgery. Early recognition and targeted intervention minimise permanent functional deficits.

Lesson 1 • Acetabular Revision Techniques

Addresses cup removal, bone defect management, and reconstruction with jumbo cups, cages, and augments. Technique selection is matched to Paprosky acetabular defect classification.

Lesson 2 • Bone Grafting in Revision Surgery

Applies morselised and structural allograft, impaction grafting, and synthetic bone substitutes to restore bone stock. Graft selection and preparation directly affect long-term implant stability.

Lesson 3 • Femoral Revision Techniques

Covers stem extraction, canal preparation, and fixation with extensively coated, fluted tapered, and modular stems. Femoral reconstruction strategy is guided by Paprosky femoral classification.

Lesson 4 • Outcomes and Complications in Revision Surgery

Evaluates functional outcomes, re-revision rates, and complication profiles specific to revision arthroplasty. Evidence-based benchmarks guide patient counselling and quality improvement efforts.

Lesson 1 • Acetabular Fracture Management

Classifies acetabular fractures and applies open reduction and internal fixation through appropriate approaches. Anatomic reduction of the articular surface is the primary determinant of long-term outcome.

Lesson 2 • Femoroacetabular Impingement Surgery

Performs arthroscopic and open osteochondroplasty for cam and pincer impingement with labral repair. Correct resection restores impingement-free motion and delays arthritic progression.

Lesson 3 • Femoral Neck and Intertrochanteric Fracture Fixation

Selects and applies internal fixation or arthroplasty for femoral neck and intertrochanteric fractures. Decision-making integrates fracture pattern, bone quality, and patient physiologic age.

Lesson 4 • Femoral Osteotomy for Hip Deformity

Applies intertrochanteric and subtrochanteric osteotomies to correct varus, valgus, and torsional deformities. Osteotomy planning uses preoperative imaging to define correction angles.