全髋关节置换手术记录（Total hip replacement surgery records）.doc

全髋关节置换手术记录（Total hip replacement surgery records） After the anesthesia was successful, the patients were treated with left lateral decubitus and fixed position frame. Routine iodine, alcohol disinfection of wild skin, sterile towel. The posterolateral incision of right hip joint was about 12cm, incision of skin and subcutaneous tissue, and hemostasis by electrocoagulation. Incision of fascia lata, revealed the greater trochanter, to the greater trochanter after blunt dissection of gluteus muscle gap and hip, protect the sciatic nerve, retraction of gluteal muscle, expose the external rotators in intertrochanteric fossa, cut off the external rotators (piriformis and obturator muscle, muscle larvae and gemellus), marked with purple line. The small trochanter was revealed along the periosteum of the femur and exposed to the joint capsule of the hip. The posterior articular capsule was incised and marked with a purple line. Flexion of the internal rotation of the hip joint exposes the femoral head and causes dislocation of the femoral head. See femoral head collapse, deformation, lose normal shape. Remove the base of the femoral neck in fibrous tissue, small trochanter 1.5cm vertical with a chainsaw amputated femoral head in the femoral neck and femoral neck, remove the femoral head. The plate retractor reveals the acetabulum. Removal of the bony margin of the acetabulum and loosening of the fibrous tissue around the joint. Excision of soft tissue in acetabulum. Followed by the 44mm-54mm file to maintain 45 degrees valgus anteversion of acetabular acetabular acetabular of 15 degrees of grinding, the true acetabulum bottom, and subchondral bone errhysis, hemostasis rinse the acetabulum, to test the size and direction of test model of acetabular acetabular well. The acetabular component of the cementless 56mm (LINK artificial hip joint) was cemented at 45 degrees of anteversion and 15 degrees, and two screws were firmly fixed. Into the high molecular polyethylene liner. D