Hip replacement Essays

Hip replacement Essays Hip replacement Essay Hip replacement Essay Auxiliary roll was placed leg length Tanat Eden eternal operatively Ana a let lower extremity was prepped and draped in the usual sterile fashion. No sequential compression was placed on the non-operative leg. The patients left hip was approached using the standard postural lateral surgical incision and approach the alliteration band and the glutens maximum fascia were incised and in lined with the incision. Deep charley retractor was placed. The patients posterior lateral soft tissues were elevated from the postural lateral femur and extending along the femoral head into the executable in an inverted hockey stick fashion. The sciatic nerve has been identified, palpated, and was kept protected during the procedure. The patients hip was dislocated. The femoral neck stilettos was performed at the level operatively attempting. Femoral head was removed was removed without difficulty. The executable was exposed and the structural labium was excised. The executable was reamed using mm and mm reamers. They sized mm trilogy streetcar shell was intact into a position with 45 degrees of abduction and approximately 20 degrees of introversion. Because of the patients posterior wall deficiency there was approximately 1 5 percent of the posterior aspect of the component uncovered. The patients cup was stable and it was elected to augment fixation with 2 structural screws placed into the Ilium. Good engagement of both screws was noted. The executable was irrigated prior to impaction of the cup. A 32 mm 10 degree posterior left structural liner was then packed into position with good engagements of the walking mechanism noted. The femur was the placed in internal rotation and preparation of the femoral canal was performed using anterior box stomped and charley all. Sequential reaming from mm to mm at 0. Mm increments were accomplished. The canal was broached with 10, 1 1, and 12 broaches with good rotational stability noted with the mm broach. Trial reductions was performed using the standard neck off stud and a +3. Mm femoral head. It was checked for stability and full extension with external rotation. 45 degree flexing with internal rotation at 90 degrees and flexing at 90 degrees with no impingement noted t 80 degrees of internal rotation. The hip could be flexed to approximately 110 degrees as well without evidence of instability. The limit on flexing was due to the patients soft tissues. The leg length was then reassessed and felt to be appropriate. The femur was dislocated. Trial broach and implants were removed. The femoral canal was prepared for leverage. A size 12 femoral Steen was then inserted it was indicated to a final settled position which was approximately mm from being fully seated. Trial reduction was performed with a +mm femoral head Page 3 ND excellent stability was noted in all positions as previously described. The trial femoral head was removed and Morse taper was cleaned and dried and a size mm pearl +Mum closes pearl Temporal nana was Impacted gallant ten Morse taper. I en head was relocated. The hip was thoroughly irrigated with pulsate leverage. The postural lateral soft tissue structures were repaired to the postural lateral femur through drill holes using 5. 0 Othello suture. The site and area was palpated and noted to be free from the repair. Deep reemission drain was placed. The Laotian band was closed using 1. Victory suture in an erupted fashion.