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Broadcast:
Anterior Approach to Total Hip Replacement

Joel M. Matta, M.D., will perform a less invasive, alternative to traditional hip replacement surgery called the Anterior Approach.  Dr. Matta has been instrumental in the training of many orthopaedic surgeons in the Anterior Approach.  Using the Corail® Total Hip System and the PINNACLE® Acetabular Cup System from DePuy Orthopaedics, Inc., as well as a specialized surgical table co-designed by Dr. Matta*, he will perform the surgery at the Hip & Pelvis Institute at Saint John’s Health Center in Santa Monica, California.  DePuy Orthopaedics, Inc., a company that has taken a leading role in training surgeons in this procedure, is making the broadcast available for free.

 

Using the Anterior Approach, surgeons make a small incision on the front (anterior) of the hip and work between muscles and tissue without cutting or detaching the muscle from the skeletal structures, minimizing trauma to the tissues.  Keeping the muscles intact may also help prevent dislocations.[i]  In traditional hip replacement surgery, surgeons make an incision on the back or side and cut and detach muscles to access the hip.  Patient hospital stays are, on average, three to five days and typical recovery time can range from three to six months[ii] with traditional hip replacement surgery.  Average hospital stays after the Anterior Approach are two to three days. [iii]  Rehabilitation and recovery time may also be shortened.[iv]            

“The Anterior Approach allows surgeons to work between the muscles, without detaching them from the hip or thighbones,” said Dr. Matta.  “When these important muscles are left relatively undisturbed, patients may be able to freely bend their hip and bear full weight immediately following surgery, which may shorten recovery time.” 

Dr. Matta will use a specialized surgical table during this surgery, which allows him to position the patient so that the hip joint may be easily accessed from the front as opposed to the side or back.  He will also use the Corail Total Hip System and the PINNACLE Acetabular Cup System from DePuy. The Corail Total Hip System has demonstrated 25 years of clinical success. Long-term survivorship for the Corail Total Hip System was reported as 97% in 5,456 cases at 15 years.[v] Also, for more than 10 years, the PINNACLE Acetabular Cup System has been one of the most widely used and clinically successful modular acetabular cup systems, having been provided to nearly one million patients. A multi-center study showed more than 96% of PINNACLE implants were still in place five years after they were implanted, which is in line with other hip implant systems.[vi] 

About Hip Replacement This year, over 193,000 patients will have some form of hip replacementsurgery[vii], and it is projected more than half of those will be under the age of 65.[viii] Hip replacement surgery is expected to increase six-fold for patients 45 to 54 from 2006-2030.[ix] 

Important Safety Information As with any medical treatment, individual results may vary.  Only an orthopaedic surgeon can determine whether an orthopaedic implant is an appropriate course of treatment.  There are potential risks, and recovery takes time.  The performance of the new joint depends on weight, activity level, age and other factors. 

About the OR-Live Broadcast Surgeons, patients, caregivers and others may view this procedure for free on the Web at www.OR-Live.com.  Information is available at this site about how to view the broadcast.  The broadcast will be moderated by Tania Ferguson, M.D., M.A.S.  Dr. Ferguson is a member of the Department of Orthopaedic Surgery at University of California Davis Health System.  Following medical school and residency at University of California San Francisco School of Medicine, Dr. Ferguson completed fellowship training with Dr. Joel Matta as well as Dr. Jeffrey Mast.  She has focused her clinical experience in the operative treatment of pelvic and acetabular fractures as well as in periacetabular osteotomy and anterior hip replacement surgery. She is well published in the field of hip and pelvic surgery. She brings her presentation and education skills and her experiences with hip and pelvic surgery, specifically with the Anterior Approach to her role as moderator.

About DePuy Orthopaedics, Inc.Support for public education about the Anterior Approach is provided by DePuy Orthopaedics, Inc., a leading global provider of orthopaedic devices used in hip and knee replacement.  DePuy Orthopaedics also offers and facilitates professional education and training on the Anterior Approach.  Visit www.depuy.com for more information. *Dr. Matta is a consultant for DePuy Orthopaedics, and receives royalties as the designer of the hana® and PROfx® tables which are manufactured by Mizuho OSI.



[i] Mohit Bhandari, MD and Joel M.  Matta, MD.  “Outcomes Following the Single Incision Anterior Approach to Total Hip Arthroplasty: A Multi-Center Observational Study.” Orthopedic Clinics of North America. July 2009: 40:329-342.
[ii] Data on file at DePuy Orthopaedics, Inc.
[iii] Joel M. Matta, M.D. and Robert E.  Klenck, M.D. Hip and Pelvis Institute at St.  Johns Health Center.  “Anterior Approach: Total Hip Replacement” Retrieved from: http://www.hipandpelvis.com/patient_education/totalhip/intro.html
[iv] Joel M.  Matta, M.D. et al. “Single-incision Anterior Approach for Total Hip Arthroplasty on an Orthopaedic Table.” Clinical Orthopaedics and Related Research, 2005.  441:115-124.
[v] Hallan, G., Lie S.A., Furnes O., Engesaeter L.B., Vollset S.E., Havelin L.I. Medium – and long-term performance of 11,516 uncemented primary femoral stems from the Norwegian arthroplasty register. The Journal of Bone and Joint Surgery. 2007: 89-B; 1574-80.
[vi] 2010 data from the National Joint Registries in the UK and Australia. UK retrieved from: http://www.njrcentre.org.uk/njrcentre/default.aspx . Australia retrieved from: http://www.dmac.adelaide.edu.au/aoanjrr/index.jsp
[vii] American Academy of Orthopaedic Surgeons.  Total Hip Replacement.  Retrieved from: http://orthoinfo.aaos.org/topic.cfm?topic=a00377
[viii] Academy of Orthopaedic Surgeons.  “Younger patients demanding new joints” AAOS Now.  February 2009.
[ix] Academy of Orthopaedic Surgeons.  “Younger patients demanding new joints” AAOS Now.  February 2009.

 

Mohit Bhandari, MD and Joel M.  Matta, MD.  “Outcomes Following the Single Incision Anterior Approach to Total Hip Arthroplasty: A Multi-Center Observational Study.”
Data on file at DePuy Orthopaedics, Inc., http://www.hipreplacement.com/DePuy/about/recovery/rehab/index.html
Matta, M.D.  Inc.  and Robert E.  Klenck, M.D.  Hip and Pelvis Institute at St.  Johns Health Center.  “Anterior Approach: Total Hip Replacement” http://www.hipandpelvis.com/patient_education/totalhip/intro.html
Joel M.  Matta, MD et al.  “Single-incision Anterior Approach for Total Hip Arthroplasty on an Orthopaedic Table.” Clinical Orthopaedics and Related Research, 2005.  441:115-124.  Data on file.
Hallan, G, Lie SA, Furnes O, Engesaeter LB, Vollset SE, Havelin LI. Medium – and long-term performance of 11,516 uncemented primary femoral stems from the Norwegian arthroplasty register. The Journal of Bone and Joint Surgery. 2007: 89-B; 1574-80.
2010 data from the national joint registries in the UK and Australia.
 American Academy of Orthopaedic Surgeons.  Total Hip Replacement.  Retrieved from: http://orthoinfo.aaos.org/topic.cfm?topic=a00377
 Academy of Orthopaedic Surgeons.  “Younger patients demanding new joints” AAOS Now.  February 2009.
 Academy of Orthopaedic Surgeons.  “Younger patients demanding new joints” AAOS Now.  February 2009.

 

 

Participants

Featuring:

Joel Matta

Joel Matta, MD

Orthopaedic Surgeon

Tania Ferguson

Tania Ferguson, MD

Orthopeadic Surgeon

Implants