Description
This video presentation, led by orthopedic consultants Kate Gill and Samantha Hook, provides a comprehensive overview of the procedures involved in cementing an acetabular component and a femoral prosthesis during hip arthroplasty. The session begins with Kate Gill discussing the intricacies of preparing the acetabulum for a cemented socket, emphasizing the importance of achieving proper visualization and preparation of the acetabular surface by carefully reaming away cartilage and osteophytes. She guides viewers through the careful steps of using progressively larger reamers while paying attention to the underlying cancellous bone, the significance of using high-speed burrs for drilling holes, and the need to maintain a dry and clean base for cement application.
The presentation also highlights the trialing process to ensure the correct fit of the prosthetic cup, and how to apply cement in the appropriate zones to avoid loosening. Gill emphasizes on handling techniques that prevent excess cement leakage and the importance of the flange for optimal coverage of the acetabulum.
Subsequently, Samantha Hook takes over, explaining the preparation and insertion of a cemented femoral stem. She stresses the significance of cleaning and washing the femoral canal thoroughly to minimize the risk of bone cement implantation syndrome. Hook demonstrates the sequential use of pin reamers and rasps to prepare the canal adequately, and discusses methods for achieving correct version and alignment of the femoral component during insertion.
The duo reinforces the significance of gentle handling throughout the procedures, as well as the importance of observing proper surgical techniques to avoid postoperative complications. Together, their detailed explanation serves as an essential guide for orthopedic professionals looking to enhance their techniques in hip arthroplasty.