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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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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.

Feedback

  • Each operation and the questions associated become a named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
  • You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
  • The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
  • There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
  • The course is completed once all the lessons are read and quizzes submitted and passed.
  • On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
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  • The timer suspends after 5 minutes though if there is no activity.
  • When you restart you will resume at the same point in the module.
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    The pass mark is 75%.
  • If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
  • Once these have been read you can re-do just the questions you failed on.
  • Once you have passed the quiz you can return at a future stage & resit .

CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity

COURSE

Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

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