surgical procedure
TRANSCRIPT
![Page 1: Surgical procedure](https://reader033.vdocument.in/reader033/viewer/2022052418/58aa11a41a28ab8a488b609f/html5/thumbnails/1.jpg)
Short stem hip arthroplasty
‘Minihip’Dr. adel sayed
Cairo universitySharm- 2015
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Skin incision
Longitudinal incsion with one-half being over the trochanter and one-half below it
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Subcutaneous dissection
exposure of the iliotibial band and tensor fascia-latae muscle.
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The posterior border of the gluteus medius is retracted using a 90° angled thin Homan retractor.
The external rotators muscle group are identified.
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The external rotators muscle group are tagged by sutures and incised
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The capsule incised along the longitudinal posterior border of the trochanter
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Hip is dislocated posteriorly
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Mid-neck resection level
The angle of the resection is parallel to the line connecting the greater and lesser trochanters.
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The curved starter awl is used to initiate femoral preparation
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Femoral canal preparation
the direction of the broach in the medullary canal following the curvature of the neck
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Exposure of the acetabulum
retractors are placed at anterior, posterior and superior borders of the acetabulum
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Acetabular reaming
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Acetabular trial
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Stem trial
the trail neck and head are attached to the broach
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Reduction trial
Trial reduction performed using the appropriate sized trial head
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Implantation of the stem
The implant inserted first by hand and then subsequently impacted with the impactor into the femoral canal with the stem impactor
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Final position
The head is reduced into definitive cup.
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Thank you