Revision Total Hip Replacement

Description

In this surgical video transcript, Dr. Mathias Bostrom discusses the procedure for revising a hip replacement in a 67-year-old male patient who has previously undergone two failed hip surgeries. The patient presents with a loosely fitted femoral component, excessive shortening of the leg, and has a well-fixed acetabular cup, which they plan to retain. Dr. Bostrom explains the necessity of replacing the polyethylene liner and utilizing a non-modular tapered fluted stem to restore leg length and stability, aiming for at least a 10 millimeter correction.



The surgery involves meticulous steps to expose and access the hip joint, including releasing the gluteus maximus fibers, removing scar tissue, and ensuring proper alignment and exposure while avoiding damage to surrounding bones. Throughout the procedure, Dr. Bostrom highlights the importance of precise measurements and controlled techniques to effectively replace the components and achieve the desired leg length and stability. The dialogue reveals the complexities of hip revision surgeries and the collaborative dynamics in the operating room, emphasizing careful planning and adjustments as the surgery progresses.

Specialties