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Inter-operative X-Ray for Hip Replacement: Get It Right the First Time

Hip replacements are a technically challenging procedure, so you want to choose a surgeon who uses the best methods available, including inter-operative X-ray. While many doctors will wait until after surgery to take X-rays, Dr. Siram takes X-rays throughout the procedure to refine the positioning of the artificial joint and to reduce future complications.

Dr. Siram uses the anterior approach to hip replacement (also called total hip arthroplasty). In this procedure, he is able to enter through the front of the hip using a smaller incision than what traditional approaches require. During the procedure, a patient lays on a specially designed surgical table called a Hana table. Unlike a traditional surgical table where a patient’s legs lay flat, the Hana table allows the patient’s legs to be placed independently and in multiple positions. This allows for better visibility and access for the surgeon, and it makes it easier to move the legs to check the range of motion.

Review Implant Placement During the Surgery

The ability to reposition the legs and lower body throughout the surgery also allows for X-rays from multiple perspectives, which are taken several times as the surgery progresses. Dr. Siram is able to review the alignment of the implant in real time and make adjustments as needed, which reduces the risk of joint dislocation in the future and helps to ensure equal leg length following the surgery.

Surprisingly, not all surgeons take advantage of inter-operative X-rays. In those instances, the hip is X-rayed after the surgery, once the patient is in the recovery room. Only then can the surgeon recognize that the placement wasn’t as precise as it…

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Prevent Corrective Surgery in the Future

Surprisingly, not all surgeons take advantage of inter-operative X-rays. In those instances, the hip is X-rayed after the surgery, once the patient is in the recovery room. Only then can the surgeon recognize that the placement wasn’t as precise as it could be. To the patient’s dismay, additional surgery may be required that same day or several weeks later. Inter-operative X-ray significantly reduces this risk.

Contact the practice of orthopedic surgeon Dr. Gautum Siram to learn more about the benefits of inter-operative X-ray.

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