Anterior Hip Replacement: Preop Planning, Positioning & Draping Tips | Sebastian Rodriguez

Whether you're transitioning to the anterior approach or expanding your indications, what happens before the incision determines everything after it. In this AHF 2025 presentation, Dr. Sebastian Rodriguez (Canada) walks through his complete preoperative and setup system for anterior total hip arthroplasty — from imaging and templating to patient selection, table setup, positioning, foot wrapping, and draping. This is the kind of practical, honest teaching that shortens the learning curve. 🔑 What you'll learn: How to template correctly and why the 3-foot standing X-ray matters How to select the right patients when starting out OSI Hana table setup, tips and common mistakes Positioning pearls — arms, safety belts, perineal post padding Foot wrapping and boot security tricks A draping system that gives you visibility, control and clean workflow 🏥 Presented at the Anterior Hip Foundation Meeting 2025 Chapters 00:00 Introduction & Transitioning to the Anterior Approach 01:03 Why Pre-Operative Planning Shortens the Learning Curve 01:21 Pre-Operative Imaging — AP Pelvis & 3-Foot Standing X-Ray 02:30 Templating — Creating a Level Plane & Measuring Leg Length 03:28 Intraoperative Guides — Neck Cut & Implant Position Tips 03:56 Patient Selection — Who to Start With & Who to Avoid 05:32 Table Setup — OSI Hana Table Overview 06:11 Positioning — Arms, Safety Belt & Perineal Post 07:42 Foot Wrapping & Boot Security 08:14 Pre-Drape Prep & Landmarking 08:45 Draping Technique — Layers, Clear Drapes & Visibility 10:54 Elevator Bar Setup & The Sponge Trick 11:40 Final Pearls — Consistency, Taping & Team Routine