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A Novel Technique to Detect Femoral Shaft Perforation during Direct Anterior Total Hip Arthroplasty.


ABSTRACT: Despite its popularity, the direct anterior approach for hip arthroplasty is not without complications. Intraoperative femoral shaft perforation using this approach ranges from 0.8% to 7%. A missed perforation can lead to fracture with the need for further surgery if not detected intraoperatively. We describe a reproducible and cost-effective technique using a plastic Yankauer suction handle to help identify proximal femoral perforations during direct anterior total hip arthroplasty. Careful attention to the visual, tactile, and auditory feedback provided by the suction handle can help ensure the cortical continuity of the proximal femur. Familiarity with relevant surgical anatomy, improving surgical technique, and scrutinizing implant positioning helps minimize the risk of complications during the direct anterior approach.

SUBMITTER: Fravel W 

PROVIDER: S-EPMC7502574 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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A Novel Technique to Detect Femoral Shaft Perforation during Direct Anterior Total Hip Arthroplasty.

Fravel William W   Deskins Seth S   Kocher Tim T   Wood Samuel S   Bullock Matthew M  

Arthroplasty today 20200731 3


Despite its popularity, the direct anterior approach for hip arthroplasty is not without complications. Intraoperative femoral shaft perforation using this approach ranges from 0.8% to 7%. A missed perforation can lead to fracture with the need for further surgery if not detected intraoperatively. We describe a reproducible and cost-effective technique using a plastic Yankauer suction handle to help identify proximal femoral perforations during direct anterior total hip arthroplasty. Careful att  ...[more]

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