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A Complication During Femoral Broaching in Total Hip Arthroplasty: A Case Report
Press-fit component fixation is one of the primary goals in uncemented total hip arthroplasty. When aiming at proximal load transfer, the stem size has to be selected with regard to the shape of the proximal femoral canal. This can be challenging in patients with ‘champagne flute’ femurs with a rela...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Bentham Open
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3744858/ https://www.ncbi.nlm.nih.gov/pubmed/23961301 http://dx.doi.org/10.2174/1874325001307010272 |
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author | Waldstein, Wenzel Boettner, Friedrich |
author_facet | Waldstein, Wenzel Boettner, Friedrich |
author_sort | Waldstein, Wenzel |
collection | PubMed |
description | Press-fit component fixation is one of the primary goals in uncemented total hip arthroplasty. When aiming at proximal load transfer, the stem size has to be selected with regard to the shape of the proximal femoral canal. This can be challenging in patients with ‘champagne flute’ femurs with a relatively narrow diaphysis, especially when a long stem femoral component is used. The present case report describes a complication during femoral broaching for a primary uncemented femoral component. Because of the narrow diaphysis, the distal portion of the broach got caught in the narrow canal and it became impossible to remove the broach with conventional techniques. Via a second distal incision, the femur was split from the distal tip of the broach to approximately 5 cm distal of the femoral neck cut along the posterior aspects of the femur. This loosened the broach enough to allow for an uncomplicated removal. The longitudinal split was secured with cables before a similar size primary implant was press fitted into the femoral canal. |
format | Online Article Text |
id | pubmed-3744858 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Bentham Open |
record_format | MEDLINE/PubMed |
spelling | pubmed-37448582013-08-19 A Complication During Femoral Broaching in Total Hip Arthroplasty: A Case Report Waldstein, Wenzel Boettner, Friedrich Open Orthop J Article Press-fit component fixation is one of the primary goals in uncemented total hip arthroplasty. When aiming at proximal load transfer, the stem size has to be selected with regard to the shape of the proximal femoral canal. This can be challenging in patients with ‘champagne flute’ femurs with a relatively narrow diaphysis, especially when a long stem femoral component is used. The present case report describes a complication during femoral broaching for a primary uncemented femoral component. Because of the narrow diaphysis, the distal portion of the broach got caught in the narrow canal and it became impossible to remove the broach with conventional techniques. Via a second distal incision, the femur was split from the distal tip of the broach to approximately 5 cm distal of the femoral neck cut along the posterior aspects of the femur. This loosened the broach enough to allow for an uncomplicated removal. The longitudinal split was secured with cables before a similar size primary implant was press fitted into the femoral canal. Bentham Open 2013-07-30 /pmc/articles/PMC3744858/ /pubmed/23961301 http://dx.doi.org/10.2174/1874325001307010272 Text en © Waldstein and Boettner; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited. |
spellingShingle | Article Waldstein, Wenzel Boettner, Friedrich A Complication During Femoral Broaching in Total Hip Arthroplasty: A Case Report |
title | A Complication During Femoral Broaching in Total Hip Arthroplasty:
A Case Report
|
title_full | A Complication During Femoral Broaching in Total Hip Arthroplasty:
A Case Report
|
title_fullStr | A Complication During Femoral Broaching in Total Hip Arthroplasty:
A Case Report
|
title_full_unstemmed | A Complication During Femoral Broaching in Total Hip Arthroplasty:
A Case Report
|
title_short | A Complication During Femoral Broaching in Total Hip Arthroplasty:
A Case Report
|
title_sort | complication during femoral broaching in total hip arthroplasty:
a case report |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3744858/ https://www.ncbi.nlm.nih.gov/pubmed/23961301 http://dx.doi.org/10.2174/1874325001307010272 |
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