The new standard in total hip arthroplasty

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The first cases using the ApolloHipX application were recently successfully completed, and the device produced better efficiency and patient outcomes, according to the surgeon who performed the cases. 

The device was developed by Corin, an orthopedic technology and device company, and the first cases were completed by Stefan Kreuzer, MD, founder of ASC Inov8 Surgical at Memorial City in Houston.

The system shines best in outpatient and ASC settings, due to its ease of use, efficiency and integration within 3D preoperative plans. Dr. Kreuzer recently connected with Becker’s to share his experience with the device and how it boosts patient outcomes. 

Note: Responses were lightly edited for clarity and length

Question: What are the benefits for orthopedic surgeons to use the ApolloHip in total hip arthroplasty cases, and why should they make the switch?

Dr. Stefan Kreuzer: The main benefits of using the ApolloHipX in total hip arthroplasty are its ease of use and efficiency in the operating room. It integrates seamlessly with the 3D preoperative plan; therefore, it is extremely efficient to confirm the placement of the implants by just taking one or two C-arm images.

In my opinion, due to efficiency, especially in an outpatient setting, where there’s limited space and limited resources, I would strongly encourage surgeons to consider not only the ApolloHipX system but also look at the 3D planning capabilities, which provide detailed information about the type and size of implants to be used, helping to avoid intraoperative surprises.

Q: How does the device improve patient outcomes?

SK: This device significantly improves patient outcomes by not only confirming the proper implant placement to avoid hip instability but also by accurately reconstructing offset and leg length. This improves function and avoids postoperative leg length discrepancies, one of the most uncomfortable outcomes of hip surgery when not addressed properly. 

Q: Do you anticipate ApolloHip becoming standard practice when it comes to THA procedures going forward? Could the technology be utilized for other orthopedic procedures?

SK: I could easily see how ApolloHipX could become a standard of practice. In this matter, any software or technology that can improve leg length, offset and implant positioning should be utilized in hip replacement, which is still relatively uncommon. Although navigation and robotic systems are available, their use remains below 10%.

The ApolloHipX is specifically designed for total hip arthroplasty. However, I could see how its 2D–3D registration technology could be applied to other areas within orthopedics, whether that’s the spine, knee or ankle procedures. At this point, I don’t know if the company is currently exploring other capabilities.

Q: What trends in the orthopedic and/or healthcare industries are you currently keeping an eye on?

SK: Currently, in orthopedics and the broader healthcare industry, the trends I follow most closely include computer navigation, robotics and healthcare economics, particularly the shift of inpatient surgeries to outpatient settings. I also pay close attention to the increasing trend of physician employment, which I believe is concerning. Physicians should remain independent; however, health insurers and payers have made it increasingly difficult for individual practices to survive.

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