In module 2A of the HIP G.I.N. our focus was on primary surgery, namely prosthetic surgery, a virtually foolproof procedure that has been thoroughly refined in the last decade, allowing a wide range of possibilities throughout the intervention.
Dr. Edwin Pantáleon began by addressing the topic of conservative cervical stems and reflecting on the advantages and possibilities of mini-invasive techniques. He also asked if this resource can conserve a larger fraction of the bone in young patients, and if there are limits regarding the age recommendation.
This was followed by Dr. Renato Pereira’s contribution, who provided us with the “formula” to safely perform a bilateral arthroplasty, eliminating the need for two anesthesias, two operations, two recoveries, and convalescences.
And in light of the state-of-the-art, we wondered whether it makes sense to recommend that an arthritic young adult hold off until the pain becomes intolerable. Dr. Fernando Leal led us to a solid answer, which clarified whether this paradigm is still up to date or whether technology has already allowed an advance in symptomatology relief for this specific clinical picture.
Continuing the reflection on the scope of technology, we also proposed to ponder on two questions, through Dr. Eduardo Machado’s presentation: “Is it possible to revive hip resurfacing?” and “How does this technique compare to modern arthroplasties, in the context of a demanding sportsperson who needs a prosthetic hip?”.