Hip replacement
Surgical protocol: data list, non exhaustive, depending on individual case, primary or revision surgery.
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
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.
Access to the hip joint
Frontal
Antero-Lateral
Postero Lateral
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
Instructions for physiotherapy
Restoring the gait with full weightbearing
