OVERVIEW

Prior to performing surgery, you can undertake a preoperative educational module reinforcing key surgical anatomy and providing a basic foundation for essential pre- and postoperative procedural knowledge.

You will re-sect the left femoral head with a sagittal saw, prepare the acetabulum with a reamer and fit the acetabular cup and liner. Then you will focus on preparing the femur to receive the stem implant with a series of tools including a box osteotome, femoral reamer and femoral broaches. The stem implant and prosthetic head will then be applied, the hip reduced into the acetabular cup and the patient’s leg length checked.

Before each key surgical objective, knowledge of key anatomy and procedural awareness are assessed. The key learning is focussed on ensuring an appropriately angled resection of the femoral head, an appropriate placement for the acetabular cup and liner, and appropriate location of the stem implant within the femur.

LEARNING OBJECTIVES

You will learn how to:

• Demonstrate the appropriate preparation of the acetabulum and femur
• Identify key anatomical structures in relevant steps and perform steps accordingly
• Use of the correct angles for the insertion of the cup and stem implants
• Demonstrate an appropriate combination of procedural accuracy and application of force throughout the procedure
• Recall the basic surgical objectives and steps for posterior total hip replacement
• List and recognize the surgical instruments and tools and understand their utility within the procedure
• Demonstrate an appropriate combination of procedural accuracy and application of force throughout the procedure
• Identify key anatomical structures in relevant steps and perform steps accordingly

ASSESSMENT

You will be assessed on:

• Understanding of relevant anatomy, pre-operative planning and post-operative patient care.
• Femoral head resection and use of preoperative templating provided.
• Acetabular reaming using alignment tool as a guide.
• Acetabular cup placement using alignment tool as a guide.
• Location of femoral channel initiation using box osteotome.
• Femoral medullary canal reaming.
• Femoral broaching.
• Use of an appropriate combination of accuracy and force throughout the procedure.