Arcos Modular Fluted Tapered Stem: Preparation & Insertion

Description

In this instructional video by Dr. Peter K Sculco from the Hospital for Special Surgery, the preparation for a modular, fluid tapered stem implantation is demonstrated. Starting with patient positioning and femoral exposure, Dr. Skulco details the use of retractors for optimal exposure and handling of femoral anatomy. He emphasizes the importance of carefully reaming the femur, selecting appropriate stem lengths (150mm, 190mm, or 250mm) based on preoperative assessments and soft tissue considerations. Throughout the procedure, he discusses the significance of tactile feedback and sound during reaming to ensure adequate preparation, before trialing the proximal body and finalising the offset relative to the greater trochanter and acetabular component. The video concludes with stability testing of the femoral head, ensuring correct positioning for optimal joint mechanics. This clinical guide is aimed at orthopedic surgeons, providing step-by-step insights into hip arthroplasty.

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