Authors: K P Kutzner S Donner M Schneider J Pfeil P Rehbein
Publish Date: 2017/02/03
Volume: 29, Issue: 2, Pages: 180-192
Abstract
Supine position Skin incision Opening of fascia blunt dissection pushing gluteal muscles dorsally with the index finger Capsulectomy Individual osteotomy according to preoperative plan to determine shortstem position Remove femoral head Prepare acetabulum Position cup Femoral preparation with the curved opening awl Spare greater trochanter and gluteal muscles Insert trial rasps in ascending sizes with “roundthecorner” technique Select offset version then trial reposition with intraoperative radiograph and implantation of the definitive implant Wound closure Consultation with the anesthesiologist to confirm a stable patient Same procedure on contralateral hipAlmost 500 patients have undergone surgery since 2010 First consecutive 54 patients 108 hips prospectively evaluated After 2 years Harris Hip Score was 988 satisfaction on visual analogue scale was 99 Low peri and postoperative complication rates no implant revisions
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