Hip Replacement Surgery

Hip replacement

Surgical protocol: data list, non exhaustive, depending on individual case, primary or revision surgery.

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Side: right/left

Type of implants

Femur

size

With cement/without cement

Acetabulum

size

With cement/without cement

+\- stabilization screws to the cup

head

ceramic/ Metal

diameter

lenght

Liner

ceramic / Polyethylene

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Provision of treatments

Cefamazine 2 g Is not known about allergies\ IV prophylactic antibiotics

Administration of hexakapron, 1 g at the beginning of surgery + 1 g before closure.

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Access to the hip joint

Frontal

Antero-Lateral

Postero Lateral

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Hip replacement

Capsulectomy

Cutting the neck

Cleaning the acetabulum, and resection of the labrum

Under X-ray, the reaming of the acetabulum in diameter increases to a degree --

Introduction of a trial cup\ stability checking

INSERTION OF ACETABULAR IMPLANT

The implant is stable, and in the right position

Opening of the femoral Canal

Preparing the femur with rasp increasing in size until  --

Testing: clinical and X-ray examination: the range of motion is good, estoration of the length and offset, stability of the joint checking

washing

insertion of the definitive Implants

Joint reduction

Ensure that there is soft tissue impingement: clinical and X-ray examinations

washing

Closure

Proper clinical examination at the end of surgery including neurological examination

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 Instructions for physiotherapy

Restoring the gait with full weightbearing

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