1244 The TAL Suction Retractor: A Simple Technique for Visualising the Transverse Acetabular Ligament (TAL) During Total Hip Replacement (THR) Surgery

Abstract Introduction The transverse acetabular ligament (TAL) is an anatomical landmark that of particular use during primary total hip replacements (THR). Visualisation important to aid the orientation cup and it a structure can be identified in virtually every replacement surgery. We introduce simple technique facilitate this. Method A thoracic suction catheter taped distal end blunt Hohmann’s retractor with two steristrips wrapping around leaving approximately 1-1.5cm exposed. Our preference for side holes proximal which allows direct connection tip Yankauer suction. used as inferior usual way, placed ligament, resting on posterior ischial surface. should lie just under TAL, most dependant point wound. Results TAL continuously or intermittently visualisation reaming, trialling, placement. provides surgical wound, preventing unnecessary movement facilitates clutter-free field leading more streamlined efficient surgery potential reduced operative times. Conclusions improvised tool makes easier visualise preparation replacements.