title: Total hip arthroplasty using the superior capsulotomy technique.
abstract: Dislocation of the native hip during total hip arthroplasty has traditionally been an integral part of all surgical exposures. However, dislocation of the native hip may require greater soft-tissue release than surgical excision of the femoral head during total hip arthroplasty. The superior capsulotomy technique allows preparation of the femur in situ, with excision of the femoral head after femoral component preparation has been completed. The advantages of this technique include preservation of the hip joint capsule and less tissue dissection during surgery; special traction equipment or fluoroscopy is not needed. This technique allows immediate mobilization of patients without motion or weight-bearing precautions, little parental narcotic use, and discharge home within 24 hours of surgery for most patients.
authors: Tufts University School of Medicine, Boston, MA, USA.
authors: Stephen B
authors: SB
authors: Murphy
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D004434:Early Ambulation; D005269:Femur / Q000601:surgery; D006801:Humans; D017746:Joint Capsule / Q000601:surgery; D007902:Length of Stay; D010027:Osteotomy / Q000379:methods; D011182:Postoperative Care