Total Hip Arthroplasty Performed by Fellowship and Non-Fellowship Trained Surgeons: A Comparison of Indications, Perioperative Management and Complications.

Introduction: Adult reconstruction fellowship-trained (FT) surgeons undergo an additional year of dedicated subspecialized training. The benefits of fellowship training include a comprehensive understanding of arthroplasty patient care and contemporary surgical techniques, as well as an expanded network of mentors and colleagues. The purpose of the present study was to compare practice variations between FT and non-fellowship-trained (NFT) surgeons, focusing on indications, perioperative prescribing patterns, and complication rates surrounding total hip arthroplasty (THA).

Femoral Vessel Blood Flow Is Preserved Throughout Direct Anterior Total Hip Arthroplasty.

Posterolateral and anterolateral approach THA disrupts femoral vessel blood flow, however, this has not been established for the direct anterior (DA) approach. Ten patients undergoing primary DA THA had peak vascular flow rates for the femoral artery and vein calculated via Doppler ultrasound at specified points: incision, acetabular preparation, femoral preparation and final reduction. Peak femoral arterial and venous flow decreased over baseline, but not significantly, during acetabular preparation (P=0.