Description
In this instructional video, Satish Kutty discusses the technique for achieving an uncemented acetabulum. He emphasizes the importance of a 360-degree exposure of the acetabulum, especially in cases of dysplastic hips, where articular cartilage loss and shallow roofs are observed. The video is structured into several segments covering the preparation, exposure, reaming, and implantation of the acetabular component. Key points include the anatomical considerations of the transverse acetabular ligament and the psoas fossa, as well as the placement and use of retractors to ensure a clear view during surgery. Kutty details the importance of careful reaming to avoid over-extraction of bone while achieving a bleeding surface to encourage bone integration with the implant. He also discusses component positioning to mitigate complications and ensure stability, underscoring the importance of templating during the procedure. The video concludes with a call to understand the principles of these techniques as they may vary with different implant types.
DOI: 10.1302/3114-210428