Applications

 

 

 

Total Hip Arthroplasty - Posterolateral Approach

"Using the Aquamantys® System can significantly decrease the amount of blood loss in total hip replacement patients and also reduce the annoyance of having to work through a less than bloodless field."

— Jeffrey L. Nacht, M.D.
 

Treating with the AQUAMANTYS® System

Technique as described by Jeffrey L. Nacht, M.D.

During the initial exposure

  • Treat deep layer of subcutaneous tissue to minimize oozing and active bleeding.
  • Pre-treat branches of the superior gluteal artery and vein.

When doing releases

  • Pre-treat short external rotators prior to release and the circumflex artery (esp. ascending branch of medial circumflex) on the posterior surface of the hip capsule.

Prior to capsulotomy or capsulectomy

  • Pre-treat the capsule and treat any active bleeders.
  • Prior to preparing the femur, pre-treat vessels in the soft tissue posterior to the greater trochanter and on the posterior femoral neck.

After transecting the femoral neck

  • Internally rotate the hip and treat anterior vessels now exposed on the femoral neck
  • Treat across inferior transverse acetabular ligament and obturator artery on both sides of the inferior acetabular labrum and into the origin of the obturator vessels.
  • Treat inferior acetabular structures prior to resection of the ligamentum teres and soft tissue of the fovea prior to and/or after reaming

To ensure optimal patient benefits, certain areas should not be treated with the AQUAMANTYS® System:

  • Skin & superficial subcutaneous tissue
  • Near neural tissue
  • Bone to be covered by an implant
  • Ligaments and tendons