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Total Hip replacement (revision): Direct exchange to Rimfit socket (Stryker) with ‘X-change’ Rim-Mesh (Stryker) and impaction bone grafting Surgical Technique

Overview

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CPD/CME Points: 1

Learn the Total Hip replacement (revision): Direct exchange to Rimfit socket (Stryker) with ‘X-change’ Rim-Mesh (Stryker) and impaction bone grafting surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Total Hip replacement (revision): Direct exchange to Rimfit socket (Stryker) with ‘X-change’ Rim-Mesh (Stryker) and impaction bone grafting surgical procedure.

This presentation will allow the reader to understand the principles and practical steps required for impaction bone grafting of the acetabulum which  is a skill that all revision surgeons should possess.

It is not a step by step guide of a socket revision as this is covered elsewhere on OrthOracle.

The use of a the ‘X-change’ stainless steel rim mesh (Stryker) and it benefits and potential downfalls are discussed

The ultimate goal of using impaction bone grafting is to leave the revision looking like a primary. Bone loss is replaced with bone which remodels and incorporates which is essential for the ‘young’ revision. Adding masses of trabecular metal(TM) with augments is not always the way forward. There is greater long term data on bone grafting than TM though the latter certainly has a role in selected cases.

 

Author: Mr Andrew Gordon PhD ,FRCS (Tr & Orth)

Institution : The Northern General Hospital ,Sheffield ,UK.

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