AORN Journal
Volume 90, Issue 1 , Pages 53-72 , July 2009

The Perioperative Nurse's Role in Table-Enhanced Anterior Total Hip Arthroplasty

  • Cassendra A. Munro, RN, MSN, CNOR

      Affiliations

    • Cassendra A. Munro, RN, MSN, CNOR, is a perioperative clinical nurse specialist at Saint John's Health Center, Santa Monica, CA. Ms Munro has no declared affiliation that could be perceived as a potential conflict of interest in publishing this article.

  • Image Result

    Typical 10-cm incision for an orthopedic table-enhanced anterior-approach total hip arthroplasty procedure.

    Typical 10-cm incision for an orthopedic table-enhanced anterior-approach total hip arthroplasty procedure.

  • Image Result

    Orthopedic table used to place patients in the supine position for anterior-approach total hip arthroplasty. The model is seen with the right leg in flexion and external rotation. The purpose of this

    Orthopedic table used to place patients in the supine position for anterior-approach total hip arthroplasty. The model is seen with the right leg in flexion and external rotation. The purpose of this photograph is to identify the intricate table parts but does not necessarily reflect best practices in patient positioning. Photograph courtesy of Mizuho OSI, Union City, CA.

  • Image Result
    Setup of the OR for a left anterior approach total hip arthroplasty. Scrubbed personnel are in sterile blue scrub gowns; unscrubbed personnel are in green scrub attire.

    Setup of the OR for a left anterior approach total hip arthroplasty. Scrubbed personnel are in sterile blue scrub gowns; unscrubbed personnel are in green scrub attire.

  • Image Result
    The nurse attaches the boots on the patient's legs in slight internal rotation to the table spar.

    The nurse attaches the boots on the patient's legs in slight internal rotation to the table spar.

  • Image Result
    Typically, the patient is prepped from the midline abdomen laterally to the level of the bed, distally to the middle of the thigh, and proximally to the navel.

    Typically, the patient is prepped from the midline abdomen laterally to the level of the bed, distally to the middle of the thigh, and proximally to the navel.

  • Image Result
    Hip landmarks are identified for surgical exposure.

    Hip landmarks are identified for surgical exposure.

  • Image Result
    Table controls on the foot of the orthopedic table are not within the sterile field.

    Table controls on the foot of the orthopedic table are not within the sterile field.

  • Image Result
    The surgeon compares fluoroscopic views of both hips and with printed images on transparency film of the replaced total hip.

    The surgeon compares fluoroscopic views of both hips and with printed images on transparency film of the replaced total hip.

  • Image Result
    The surgeon inserts the femoral hook and retractors to insert the components during a resurfacing total hip arthroplasty (ie, surface replacement). The femoral head shown is larger than the implant fo

    The surgeon inserts the femoral hook and retractors to insert the components during a resurfacing total hip arthroplasty (ie, surface replacement). The femoral head shown is larger than the implant for a total hip replacement.

 New! Complete this CE activity online at aorn.org/CE

  indicates that continuing education contact hours are available for this activity. Earn the contact hours by reading this article and taking the examination on pages 69–70 and then completing the answer sheet and learner evaluation on pages 71–72. The contact hours for this article expire July 31, 2012.

 Editor's note: ProFX® and Hana® are registered trademarks of Misuho OSI, Union City, CA. Publication of this article does not imply AORN endorsement of companies or products mentioned herein.

 The behavioral objectives and examination for this program were prepared by Rebecca Holm, RN, MSN, CNOR, clinical editor, with consultation from Susan Bakewell, RN, MS, BC, director, Center for Perioperative Education. Ms Holm and Ms Bakewell have no declared affiliations that could be perceived as potential conflicts of interest in publishing this article.

 This program meets criteria for CNOR and CRNFA recertification, as well as other continuing education requirements.

 AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

 AORN recognizes these activities as continuing education for registered nurses. This recognition does not imply that AORN or the American Nurses Credentialing Center approves or endorses products mentioned in the activity.

 AORN is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019. Check with your state board of nursing for acceptance of this activity for relicensure.

PII: S0001-2092(09)00170-7

doi: 10.1016/j.aorn.2009.02.015

AORN Journal
Volume 90, Issue 1 , Pages 53-72 , July 2009

Article Tools

* Image Usage & Resolution