The Use of Photodynamic Nails for Bone Reinforcement in Combination with Complex Total Hip Arthroplasty in the Setting of Radiation Osteitis
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Procedure Outline
Table of Contents
- 1. Introduction
- 2. Preparation for Photodynamic Nail Stabilization
- 3. Neuronavigation Setup
- 4. Trajectory Identification and Sequential Reaming
- 5. Balloon Placement and Inflation with Polymer Injection
- 6. Closure and Final X-Rays for Nail Stabilization
- 7. Preparation for Hip Replacement
- 8. Incision and Exposure of Hip Joint Through Posterolateral Approach
- 9. Sequential Reaming
- 10. Sciatic Neurolysis
- 11. Multihole Revision Cup, Augment, and Femoral Implants
- 12. Closure
- 13. Post-op Remarks
- Final X-Rays of Nails
- Trochanteric Osteotomy
- Canal Finder and Femoral Broaching to Appropriately Size the Canal
- Expose the Acetabulum with Retractors and Remove the Femoral Head
- Final X-Ray
14. Postoperative CT Scan
- Bone Window
- Soft Tissue Window
