The Use of Photodynamic Nails for Bone Reinforcement in Combination with Complex Total Hip Arthroplasty in the Setting of Radiation Osteitis

1. Introduction

2. Preparation for Photodynamic Nail Stabilization

3. Neuronavigation Setup

4. Trajectory Identification and Sequential Reaming

5. Balloon Placement and Inflation with Polymer Injection

6. Closure and Final X-Rays for Nail Stabilization

1. Final X-Rays of Nails

7. Preparation for Hip Replacement

8. Incision and Exposure of Hip Joint Through Posterolateral Approach

1. Trochanteric Osteotomy
2. Canal Finder and Femoral Broaching to Appropriately Size the Canal
3. Expose the Acetabulum with Retractors and Remove the Femoral Head

9. Sequential Reaming

10. Sciatic Neurolysis

11. Multihole Revision Cup, Augment, and Femoral Implants

1. Final X-Ray

12. Closure

13. Post-op Remarks

14. Postoperative CT Scan

1. Bone Window
2. Soft Tissue Window