{"id":4675,"date":"2026-01-26T23:34:36","date_gmt":"2026-01-26T15:34:36","guid":{"rendered":"https:\/\/ndhorth.synology.me\/wordpress\/?p=4675"},"modified":"2026-01-26T23:39:58","modified_gmt":"2026-01-26T15:39:58","slug":"th","status":"publish","type":"post","link":"https:\/\/ndhorth.synology.me\/wordpress\/?p=4675","title":{"rendered":"THR"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4675\" class=\"elementor elementor-4675\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cb7267e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cb7267e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4f54f9f\" data-id=\"4f54f9f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-618acbe elementor-nav-menu--stretch elementor-nav-menu--dropdown-tablet elementor-nav-menu__text-align-aside elementor-nav-menu--toggle elementor-nav-menu--burger elementor-widget elementor-widget-nav-menu\" data-id=\"618acbe\" data-element_type=\"widget\" data-settings=\"{&quot;full_width&quot;:&quot;stretch&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-caret-down\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;toggle&quot;:&quot;burger&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<nav aria-label=\"Menu\" class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-horizontal e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-618acbe\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4703\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4695\" class=\"elementor-item menu-link\">TAR<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4689\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4675\" class=\"elementor-item menu-link\">THR<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3647\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3643\" class=\"elementor-item menu-link\">TKR<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t<div class=\"elementor-menu-toggle\" role=\"button\" tabindex=\"0\" aria-label=\"Menu Toggle\" aria-expanded=\"false\">\n\t\t\t<i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--open fas fa-book\"><\/i><i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--close eicon-close\"><\/i>\t\t\t<span class=\"elementor-screen-only\">Menu<\/span>\n\t\t<\/div>\n\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-618acbe\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4703\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4695\" class=\"elementor-item menu-link\" tabindex=\"-1\">TAR<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4689\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4675\" class=\"elementor-item menu-link\" tabindex=\"-1\">THR<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3647\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3643\" class=\"elementor-item menu-link\" tabindex=\"-1\">TKR<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-aec6528 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aec6528\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5533d0b\" data-id=\"5533d0b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a2b6f92 elementor-widget elementor-widget-heading\" data-id=\"a2b6f92\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">THR<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c56d3e4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c56d3e4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bcfc270\" data-id=\"bcfc270\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7929d27 elementor-widget elementor-widget-shortcode\" data-id=\"7929d27\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n<style>\n\t#hotspot-4673 .hotspots-image-container,\n\t#hotspot-4673 .leaflet-container {\n\t\tbackground: #efefef\t}\n\n\t#hotspot-4673 .hotspots-placeholder,\n\t.featherlight .featherlight-content.lightbox-4673 {\n\t\tbackground: #fafbff;\n\t\tborder: 0 #fafbff solid;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-4673 .hotspot-title,\n\t#hotspot-4673 .bc-product__title a,\n\t.featherlight .featherlight-content.lightbox-4673 .hotspot-title,\n\t.featherlight .featherlight-content.lightbox-4673 .bc-product__title a {\n\t\tcolor: #20418d;\n\t}\n\n\t\t\t#hotspot-4673 .hotspot-style-1 {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-4673 .hotspot-style-1:hover,\n\t\t#hotspot-4673 .hotspot-style-1:focus,\n\t\t#hotspot-4673 .hotspot-style-1.hotspot-active {\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\toutline: none;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t\t#hotspot-4673 .hotspot-default {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #20418d;\n\t\t\tfill-opacity: 0.01;\n\t\t\tstroke: #001440;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-4673 .hotspot-default:hover,\n\t\t#hotspot-4673 .hotspot-default:focus,\n\t\t#hotspot-4673 .hotspot-default.hotspot-active {\n\t\t\tfill: #0d1b3a;\n\t\t\tfill-opacity: 0.01;\n\t\t\toutline: none;\n\t\t\tstroke: #001440;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-4673 .leaflet-tooltip,\n\t#hotspot-4673 .leaflet-rrose-content-wrapper {\n\t\tbackground: #fafbff;\n\t\tborder-color: #fafbff;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-4673 a.leaflet-rrose-close-button {\n\t\tcolor: #20418d;\n\t}\n\n\t#hotspot-4673 .leaflet-rrose-tip {\n\t\tbackground: #fafbff;\n\t}\n\n\t#hotspot-4673 .leaflet-popup-scrolled {\n\t\tborder-bottom-color: #001440;\n\t\tborder-top-color: #001440;\n\t}\n\n\t#hotspot-4673 .leaflet-tooltip-top:before {\n\t\tborder-top-color: #fafbff;\n\t}\n\n\t#hotspot-4673 .leaflet-tooltip-bottom:before {\n\t\tborder-bottom-color: #fafbff;\n\t}\n\t#hotspot-4673 .leaflet-tooltip-left:before {\n\t\tborder-left-color: #fafbff;\n\t}\n\t#hotspot-4673 .leaflet-tooltip-right:before {\n\t\tborder-right-color: #fafbff;\n\t}\n<\/style>\n\n\n\t<div class=\"hotspots-container  layout-lightbox event-click\" id=\"hotspot-4673\" data-layout=\"lightbox\" data-trigger=\"click\">\n\t\t<div class=\"hotspots-interaction\">\n\t\t\t<div class=\"hotspots-image-container\">\n\t<img\n\t\twidth=\"1280\"\n\t\theight=\"720\"\n\t\tsrc=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/THR.png\"\n\t\talt=\"THR\"\n\t\tclass=\"hotspots-image skip-lazy\"\n\t\tusemap=\"#hotspots-image-4673\"\n\t\tdata-image-title=\"THR\"\n\t\tdata-image-description=\"\"\n\t\tdata-event-trigger=\"click\"\n\t\tdata-always-visible=\"on\"\n\t\tdata-id=\"4673\"\n\t\tdata-no-lazy=\"1\"\n\t\tdata-lazy-src=\"\"\n\t\tdata-lazy=\"false\"\n\t\tloading=\"eager\"\n\t\tdata-skip-lazy=\"1\"\n\t\t>\n<\/div>\t\t<\/div>\n\t\t<map name=\"hotspots-image-4673\" class=\"hotspots-map\">\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"98,278,98,225,381,225,381,278\"\n\t\t\t\t\thref=\"#hotspot-hotspot-4673-0\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Position and Draping\"\n\t\t\t\t\talt=\"Position and Draping\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-4673-0\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"108,508,108,463,383,463,383,508\"\n\t\t\t\t\thref=\"#hotspot-hotspot-4673-1\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Procedure\"\n\t\t\t\t\talt=\"Procedure\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-4673-1\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"878,322,878,267,1237,267,1237,322\"\n\t\t\t\t\thref=\"#hotspot-hotspot-4673-2\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Instrument and Consumable\"\n\t\t\t\t\talt=\"Instrument and Consumable\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-4673-2\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t<\/map>\n\n\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-4673-0\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Position and Draping<\/h2>\t\t\t\t\t\t\t\t\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"461\" height=\"753\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/THR-draping.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/THR-draping.png 461w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/THR-draping-184x300.png 184w\" sizes=\"(max-width: 461px) 100vw, 461px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-4673-1\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Procedure<\/h2>\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .09in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Procedure<\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .09in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">AR hip registration<\/span><\/u><\/p>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">1.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Supine position and skin preparation <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">2.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Insert 3.2 mm half pins into iliac crest <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">3.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">AR hip registration with QR code<\/span><\/div>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">\u00a0 Operation<\/span><\/p>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">1.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Operative side up and draping <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">2.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Skin incision with surgical blade No. 22. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">3.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Haemostasis<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> with diathermy pen. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">4.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Dissect muscle with diathermy, Metzenbaum scissors and periosteal elevator. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">5.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Apply I\/I retractor with two wet short <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">raytec<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> gauges underneath the blades. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">6.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Perform capsulotomy with diathermy pen and Mayo\u2019s curved scissors. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">7.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Resects femoral head with reciprocating saw. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">8.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Remove femoral head with two ring handles or femoral head extractor.<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">9.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Clear up acetabular side with diathermy pen and capsular forceps. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">10.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Ream acetabulum with acetabulum grater gradually to desired size. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">11.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Size acetabulum with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">provisionals<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">12.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Irrigate acetabulum with pulsatile lavage. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">13.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Apply prosthesis and secure with screws accordingly. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">14.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Prepare intra-medullary canal with femoral canal broaches to desired size gradually. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">15.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Apply trial head to perform hip reduction and test the stability and range of motion accordingly. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">16.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Irrigate femoral canal and the entire wound with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">pulsavac<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> thoroughly. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">17.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">For CPT cemented stem, turn off diathermy and prepare cement for application of implant. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">18.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Introduce implant into femoral canal with appropriate prosthesis driver and hammer. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">19.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Insert selected size of femoral head. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">20.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Reduce hip joint with prosthesis driver and manual traction. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">21.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Test stability of hip joint for range of motion. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">22.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Close wound with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 1, <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 2\/O and skin stapler. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">23.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Insert Fr 10 <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">redivac<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> drain. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">24.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> Dress wound with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">cosmopore<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">, plain gauze, <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">velband<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> and crepe bandage. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">25.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Resume patient to supine position with hip abducted; then apply abduction pillow between legs <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"><br \/>\n<\/span><\/div>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">\u00a0<\/span><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Wound closing <\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 1 @4<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 2\/O @2<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Skin stapler <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Plain gauze\u00a0 <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Velband<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> @3<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Crepe bandage @3<\/span><\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-4673-2\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Instrument and Consumable<\/h2>\t\t\t\t\t\t\t\t\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img decoding=\"async\" width=\"618\" height=\"1024\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/THR-consumable-1-618x1024.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/THR-consumable-1-618x1024.png 618w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/THR-consumable-1-181x300.png 181w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/THR-consumable-1.png 667w\" sizes=\"(max-width: 618px) 100vw, 618px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-90ec191 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"90ec191\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5258f30\" data-id=\"5258f30\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-44795f0 elementor-view-stacked elementor-shape-circle elementor-widget elementor-widget-icon\" data-id=\"44795f0\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"https:\/\/ndhorth.synology.me\/wordpress\/?page_id=903\">\n\t\t\t<i aria-hidden=\"true\" class=\"fas fa-undo\"><\/i>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>THR<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-4675","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/4675","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4675"}],"version-history":[{"count":7,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/4675\/revisions"}],"predecessor-version":[{"id":4685,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/4675\/revisions\/4685"}],"wp:attachment":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4675"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4675"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4675"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}