DJO, LLC has announced the launch of its ADAPTABLE Surgical Arm for use in anterior hip arthroplasty at the recent 2019 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS).
Novel Anterior THA Leg, Retractor Holder Launched at AAOS
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#totalhiparthroplastySecondary#directanteriorapproach#adaptablesurgicalarm
According to the company, “ADAPTABLE is the first fully sterile, surgeon-controlled leg and retractor holder designed for a safe Direct Anterior Approach [DAA] Total Hip Arthroplasty (THA). The fully-mechanical, carbon fiber surgical arm works seamlessly with any standard operating table and has the ability to reduce the number of assistants in the operating room. ADAPTABLE is easy to set-up, transport and store.”
“There are seldom times in orthopaedics when truly disruptive innovation occurs,” says DJO Surgical President Jeff McCaulley.
“ADAPTABLE breaks accessibility barriers and puts control back in the surgeon’s hands. Along with our personalized medical education offering, suite of THA implants and instruments designed specifically for the Direct Anterior Hip Arthroplasty, DJO is excited to partner with customers in this new era of the anterior approach.”
“The specialty table model for Direct Anterior Arthroplasty doesn’t align with today’s cost-conscious healthcare environment,” says Dr. Raymond Kim of The Steadman Clinic in Vail, Colorado. “ADAPTABLE is a game-changing device for Anterior Hip Arthroplasty. It empowers surgeons to reduce the number of staff intra-operatively and increase the overall OR economy. Its versatility as both a retractor and leg holder, as well as its promise for future indications, are a much needed innovative and modern solution to patient care.”
According to McCaulley, “Regarding weight, the Hana is approximately 800 lbs.—the ADAPTABLE arm is approximately 95% lighter and can be attached to any standard operating table.”
“As for training, specialized training is not required to use the ADAPTABLE arm. The arm is completely surgeon controlled intra-operatively and no longer requires non-sterile personnel to operate the table. DJO is committed to providing the educational opportunities and support needed to reduce the learning curve associated with the DAA so surgeons can provide the best care for their patients.”
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This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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