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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...

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Detalles Bibliográficos
Autores principales: Waldstein, Wenzel, Boettner, Friedrich
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2013
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
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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.
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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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