Anterior Augment and Trabecular Metal Cup For Revision Total Hip Replacement by Dr. Anoop Jhurani

Description

This video details the surgical procedure for revision acetabulum reconstruction, focusing on a 65-year-old female patient with a history of hip replacements. Anoop Jhurani outlines the patient's previous surgeries, noting that the first hip replacement was done 20 years ago, requiring subsequent revisions due to issues with the implant. Current imaging shows socket loosening, leading to a diagnosis of aseptic loosening.



The procedure aims to remove the loose socket and assess bone integrity, using an anterior augment to address significant anterior column loss. Steps include careful removal of the old socket to avoid bone loss, placing a trabecular metal shell, and ensuring optimal screw placement for stability. The speaker highlights the importance of evaluating bone loss and the necessity of drill placement, ultimately restoring the hip's center of rotation and addressing potential instability issues due to the patient’s spinal fusion. The summary emphasizes patient assessment and the significance of reconstructive strategies for successful outcomes.

DOI: 10.1302/3114-230034

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