Lateral hip arthroplasty

Lateral hip incision lavage for surgical treatment of septic hip arthritis. In the incisions of the hip joint, the lateral incision is shallow and direct, and only the tendon bundle is separated to separate the tensor fascia lamina, without damaging other muscles. Curing disease: Indication 1. Early septic arthritis for the incision and drainage of the early suppurative joints is actually the cutting of the switch. The operation of placing the drainage tube to suture the joint is different from that of the late stage. 2, advanced septic arthritis closed drainage can not be controlled, it is to open the drainage, open switch section is not sutured. Preoperative preparation For blood-borne septic arthritis, antibiotics are used before surgery to improve the general condition and local fixation. Once the exudate or pus is extracted by the joint puncture, the smear Gram stain is immediately applied to find the bacteria. If it is positive, there is no need to wait. Instead, surgery should be done as soon as possible. For infants and children, those who can not be diagnosed under local anesthesia can be operated according to other signs, joint puncture under anesthesia, and exudate or pus. Surgical procedure 1. Incision: The arcus incision is made with the large trochanter as the center. It is about 10cm long, and the distal and distal ends are curved forward. The tendon bundle is cut along the direction of the incision. The proximal side is in the tensor fascia and the gluteus medius and small muscle. Separately, the fascia lata muscles are slightly retracted forward, that is, the front of the large trochanter is displayed, and the proximal side is the gluteus medius and the small muscle, and the distal side is the lateral femoral muscle. Before the large trochanter, it is separated inward along the hip joint capsule, and the soft tissue is separated upwards and downwards, that is, the front of the hip joint capsule is displayed, and the inner side is the iliopsoas muscle, which is retracted by the plate hook, and the joint capsule is completely in front. Revealed. 2. T-shaped incision on the joint capsule, enter the joint, rinse the pus, put a silicone tube or plastic tube on the front and the front of the joint, and the distal end is made through a small incision next to the incision. The wound was washed with saline and the incision was sutured layer by layer.