Reaming Under Fluoro | Dr. Tim McGlaston | AHF 2024

Dr. Tim McGlaston from
Trinity Health IHA Medical Group shares his technique for reaming the acetabulum during hip surgery using fluoroscopy.
• He typically uses 2-3 reamers, aiming for a 1mm press fit.
• The surgical setup includes positioning the fluoroscopy machine and adjusting table height for optimal ergonomics.
• He emphasizes the importance of leveling the pelvis using anatomical landmarks visible on fluoroscopy.
• The first reamer is used to medialize to the target depth while considering the hip center of rotation.
• He uses the shape of the reamer and anatomical landmarks to judge anteversion and abduction angles.
• Subsequent reaming focuses on engaging the peripheral bone and rim of the acetabulum.
• The technique is applicable for both primary hip replacements and cup revisions.
• Fluoroscopy guidance helps avoid surprises that can occur with direct visualization, especially in cases with scar tissue or osteophytes.
• The speaker concludes by noting this method allows precise control of cup position and hip center of rotation.
For more information about the Anterior Hip Foundation 2024 annual event, visit: www.anteriorhipfoundation.com