Hueter’s technique is not new. It was introduced 40 years ago by Dr Robert Judet. This approach remains secondary in France and in the world. The posterior approach is still the most commonly performed, maybe because Hueter’s requires a longer learning commitment. However, in the last 5-10 year, it has made a comeback and is gaining ground particularly among the young generations of surgeons.
The idea of the direct anterior Hueter approach is to pass in front of the hip’s joint (anterior approach). We don’t cut away trochanter tendons which are in the back (as in posterior approach).
- Learn the Basic Concepts of:
- - surgical hip anatomy
- - patient selection for DA Hueter approach
- - traction table : make good choice
- - preoperative planning: traumacad, custom hip CT scan
- Exchange with experienced surgeons on DA Hueter approach:
- - tips and tricks for DA Hueter approach
- - primary and revision surgery
- Advanced Concepts:
- - Assist and participate in live surgery
- - Using the direct anterior approach for acetabular revision, acetabular reconstruction, bipolar revision.
Live case observation, Lectures, On-site
- Preserve the structures around the hip joint: muscles and tendons, articular capsule for certain patients.
- A direct approach (without any cutting of tissues), by spreading the muscles to start the articulation of the hip.
- Benefits for patients are to preserve the muscles and tendons (decreasing of the risk of dislocation) and also quicker rehabilitation.
- Shorter hospital stay thanks to a quicker rehabilitation
- Symbios
- Mathys
- Medacta
- Depuy Tige Corail
DAY 1 – primary THA
Morning: 8:00 am – 11:00 am
Coffee and presentations – discussion - cases
1. DA Hueter approach: the rational
a. History and Anatomical basis
b. Literature analysis
2. Extension tables for primary DA Hueter …our choices
a. The Judet table
b. The Medacta table
c. Length measurement device
3. Which Stems for primary THA with the DA Hueter approach?
a. Per-op planning
b. Straight stems and AMIS stem
c. Short stem
d. Custom hip stem
4. Post-op management
5. Case discussion and planning for afternoon surgery
Lunch 12:00 am at Clinique ARAGO
After-noon: 01:00 pm – 04:00 pm
Live surgery with our surgeons.
You will be able to assist our surgeons in the OR during THA procedures.
- OR 1: Primary THA with short stem (Optymis Mathys)
o Dr F Sailhan
- OR 2: Primary THA with custom stem (Symbios)
o Dr C Castelain
- OR 3: Primary THA with straight stem (Biotechni)
o Dr P Lapresle
Dinner 8 pm : restaurant “La Closerie de Lilas”
DAY 2 - revision surgery
Morning 8:00am – 11:00am
Coffee and presentations - discussion – cases
1. Is revision surgery possible with the DA Hueter approach?
2. Acetabular revision… acetabular reconstruction?
3. Bipolar hip revision: for who and how?
4. Case discussion and planning for afternoon surgery
Lunch 12:00 am at Clinique ARAGO
After-noon: 01:00 pm – 04:00 pm
Live surgery with our surgeons.
You will be able to assist our surgeons in the OR during THA procedures.
- OR 1: Revision surgery through DA Hueter approach
o Dr JM Postel
- OR 2: Primary THA with AMIS stem (Medacta)
o Dr L Kerboull
- OR 3: Revision surgery through DA Hueter approach
o Dr Sailhan / Dr Castelain
Directions to the Arago Clinic
The Clinic is located at 187 rue Raymond Losserand, 75014 Paris.
Take line 13 to Plaisance station. Exit on rue Raymond Losserand and pass the St Joseph Hospital. Enter the Cité Hospitalière and follow the signs to the Clinic
Take rue Raymond Losserand and enter the Cité Hospitalière. Follow the signs, then turn right before the Clinic building. You can access a large underground car park (no need to use the hospital car park)
Accommodation
Hotel Novotel Suites Paris Expo Porte de Versailles****
4 boulevard Brune, 75014 Paris
(+33) 1/71254737 - H9400@accor.com
from 150€/night
11 avenue Villemain, 75014 Paris
(+33) 1/45432418
from 90€/night
187 rue Raymond Losserand
75014 PARIS, France
