qualities that allow for better access to the femur and minimize soft tissue trauma. After sterilizing, the surgeon makes a four to five inch incision on the anterior hip. Circumflex vessels are tied off and triaminic acid is used to prevent blood loss. Next, the surgeon punctures the synovial joint and synovial fluid flows out. Then, the surgeon removes the head of the femur with a surgical saw and reams the acetabulum to reach healthy bone. The surgeon then places the pelvic cup into the hip joint. Next, a thick liner, acting as the synovial joint, is attached to the pelvic cup with locking pegs. After that comes the broaching of the femoral canal, this compresses the bone, it does not cut any bone out. Then comes the placing of the femoral implant, followed by the femoral head. The surgeon puts the hip back in place and rotates it
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ninety degrees to check the stability. Finally, the flesh is closed with stitches. To ensure the best possible surgery, the surgeon uses frequent x-rays throughout the operation. I think the anterior approach to a total hip replacement is interesting and very beneficial. The recovery time of patients is very fast due to the separation of muscles instead of cutting them. Some patients can walk an hour after surgery, others may take a day. After two weeks, most cases are walking with a cane. At six weeks, the implant locks into the bone and patients are completely recovered, some even say they forget they ever had a hip replacement. I find the $80,000 orthopedic table impressive because it has a radiolucent base which enables x-rays to be easily taken. If I were to ever need a hip replacement I would want it to be an anterior approach.
Hip replacement, Orthopedic surgery, femoral head, femoral canal
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