A Unique Complication of Femoral Broach Fracture and Incarceration During Total Hip Arthroplasty

In recent years, total hip arthroplasty via the direct anterior approach has been gaining popularity. It offers potential early advantages for less pain and quicker return of hip function; however, compared to other surgical approaches, it is associated with a more difficult femoral reconstruction....

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Main Authors: Andrzej Brzezinski, MD, Daniel Mascarenhas, MD, Michael Simon, BS, Stephen Kayiaros, MD
Format: Article
Language:English
Published: Elsevier 2021-10-01
Series:Arthroplasty Today
Subjects:
Hip
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344121001291
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spelling doaj-8e4144fa3e484ee7846e5b14909158872021-08-22T04:29:26ZengElsevierArthroplasty Today2352-34412021-10-01114953A Unique Complication of Femoral Broach Fracture and Incarceration During Total Hip ArthroplastyAndrzej Brzezinski, MD0Daniel Mascarenhas, MD1Michael Simon, BS2Stephen Kayiaros, MD3Department of Orthopaedics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; Corresponding author. 1 RWJ Place, MEB 422A, New Brunswick, NJ 08901, USA. Tel.: +19083078019.Department of Orthopaedics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJDepartment of Orthopaedics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJDepartment of Orthopaedics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; University Orthopaedic Associates, Somerset, NJIn recent years, total hip arthroplasty via the direct anterior approach has been gaining popularity. It offers potential early advantages for less pain and quicker return of hip function; however, compared to other surgical approaches, it is associated with a more difficult femoral reconstruction. Inadequate femoral exposure during the direct anterior approach can result in suboptimal press fit, implant malalignment, and intraoperative fracture. This case report presents a unique complication of femoral broach failure and describes a simple technical solution that is feasible, cost-effective, and safe.http://www.sciencedirect.com/science/article/pii/S2352344121001291HipArthroplastyComplicationBroachFailureIncarceration
collection DOAJ
language English
format Article
sources DOAJ
author Andrzej Brzezinski, MD
Daniel Mascarenhas, MD
Michael Simon, BS
Stephen Kayiaros, MD
spellingShingle Andrzej Brzezinski, MD
Daniel Mascarenhas, MD
Michael Simon, BS
Stephen Kayiaros, MD
A Unique Complication of Femoral Broach Fracture and Incarceration During Total Hip Arthroplasty
Arthroplasty Today
Hip
Arthroplasty
Complication
Broach
Failure
Incarceration
author_facet Andrzej Brzezinski, MD
Daniel Mascarenhas, MD
Michael Simon, BS
Stephen Kayiaros, MD
author_sort Andrzej Brzezinski, MD
title A Unique Complication of Femoral Broach Fracture and Incarceration During Total Hip Arthroplasty
title_short A Unique Complication of Femoral Broach Fracture and Incarceration During Total Hip Arthroplasty
title_full A Unique Complication of Femoral Broach Fracture and Incarceration During Total Hip Arthroplasty
title_fullStr A Unique Complication of Femoral Broach Fracture and Incarceration During Total Hip Arthroplasty
title_full_unstemmed A Unique Complication of Femoral Broach Fracture and Incarceration During Total Hip Arthroplasty
title_sort unique complication of femoral broach fracture and incarceration during total hip arthroplasty
publisher Elsevier
series Arthroplasty Today
issn 2352-3441
publishDate 2021-10-01
description In recent years, total hip arthroplasty via the direct anterior approach has been gaining popularity. It offers potential early advantages for less pain and quicker return of hip function; however, compared to other surgical approaches, it is associated with a more difficult femoral reconstruction. Inadequate femoral exposure during the direct anterior approach can result in suboptimal press fit, implant malalignment, and intraoperative fracture. This case report presents a unique complication of femoral broach failure and describes a simple technical solution that is feasible, cost-effective, and safe.
topic Hip
Arthroplasty
Complication
Broach
Failure
Incarceration
url http://www.sciencedirect.com/science/article/pii/S2352344121001291
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