Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques

The combination of an aging population and increased utilization of total hip arthroplasty (THA) is leading to a higher incidence of conversion THA, defined as conversion from previous hip fracture surgery to THA. Conversion THA is a more technically challenging, time-consuming, and costly procedure...

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Autores principales: Puri, Simarjeet, Sculco, Peter K., Abdel, Matthew P., Wellman, David S., Gausden, Elizabeth B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Surgical Technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641077/
https://www.ncbi.nlm.nih.gov/pubmed/37964916
http://dx.doi.org/10.1016/j.artd.2023.101243
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author Puri, Simarjeet
Sculco, Peter K.
Abdel, Matthew P.
Wellman, David S.
Gausden, Elizabeth B.
author_facet Puri, Simarjeet
Sculco, Peter K.
Abdel, Matthew P.
Wellman, David S.
Gausden, Elizabeth B.
author_sort Puri, Simarjeet
collection PubMed
description The combination of an aging population and increased utilization of total hip arthroplasty (THA) is leading to a higher incidence of conversion THA, defined as conversion from previous hip fracture surgery to THA. Conversion THA is a more technically challenging, time-consuming, and costly procedure compared to primary THA and frequently involve more medically complex patients. Thus, the aim of this review is to provide a rubric for surgeons to use when preparing for a conversion THA. We have assessed the compatibility of commonly available extraction devices with popular femoral nails. Furthermore, we review technical pearls for conversion THA including equipment planning, operative setup, intraoperative imaging, extraction sequencing, and troubleshooting commonly encountered obstacles.
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spelling pubmed-106410772023-11-14 Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques Puri, Simarjeet Sculco, Peter K. Abdel, Matthew P. Wellman, David S. Gausden, Elizabeth B. Arthroplast Today Surgical Technique The combination of an aging population and increased utilization of total hip arthroplasty (THA) is leading to a higher incidence of conversion THA, defined as conversion from previous hip fracture surgery to THA. Conversion THA is a more technically challenging, time-consuming, and costly procedure compared to primary THA and frequently involve more medically complex patients. Thus, the aim of this review is to provide a rubric for surgeons to use when preparing for a conversion THA. We have assessed the compatibility of commonly available extraction devices with popular femoral nails. Furthermore, we review technical pearls for conversion THA including equipment planning, operative setup, intraoperative imaging, extraction sequencing, and troubleshooting commonly encountered obstacles. Elsevier 2023-10-27 /pmc/articles/PMC10641077/ /pubmed/37964916 http://dx.doi.org/10.1016/j.artd.2023.101243 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Surgical Technique
Puri, Simarjeet
Sculco, Peter K.
Abdel, Matthew P.
Wellman, David S.
Gausden, Elizabeth B.
Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques
title Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques
title_full Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques
title_fullStr Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques
title_full_unstemmed Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques
title_short Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques
title_sort total hip arthroplasty after proximal femoral nailing: preoperative preparation and intraoperative surgical techniques
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641077/
https://www.ncbi.nlm.nih.gov/pubmed/37964916
http://dx.doi.org/10.1016/j.artd.2023.101243
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