CHAPTER 52

Total Hip Replacement

A total hip replacement is the removal of the acetabulum and the head of the femur, which are replaced with prosthetic implants.

Possible equipment needed for the procedure includes power saws and blades; power drill, bits, and reamers; a hip prosthesis; total hip instruments; and hip retractors.

A brief description of the procedure follows:

1. Bennett and Hibbs retractors are used for visualization and stabilization of the hip joint.

2. A power saw is used to remove the head of the femur.

3. A power drill is used to ream the shaft of the femur.

4. An acetabular reamer set is used to prepare the acetabulum.

5. The sizer sets are used to determine the size of the acetabular component.

6. A trochanter reamer set is used to prepare the proximal femur.

7. A reamer tray with drill is used to prepare the femoral shaft.

8. A rasp tray with a mallet is used to prepare the femur for the femoral component.

9. The complete set of hip prostheses is used to select the correct size of the prosthetic to be used.

52-1 Top: 2 Volkmann retractors, 2 prong, sharp. Bottom, left to right: 2 Bard-Parker knife handles #4; 2 Adson tissue forceps with teeth (1 × 2), front view and side view; 1 thumb tissue forceps with teeth (1 × 2); 2 Ferris Smith tissue forceps, front view and side view; 1 mayo dissecting scissors, curved; 1 mayo dissecting scissors, straight; 4 paper drape clips; 2 Backhaus towel forceps; 2 Crile hemostatic forceps, inch; 2 tonsil hemostatic forceps; 1 mayo-Péan hemostatic forceps; 2 Ochsner hemostatic forceps; 1 Foerster sponge forceps; 2 Crile-Wood needle holders, 8 inch.

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