Cemented primary total hip arthroplasty using a direct anterior approach |
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| Affiliation: | 1. Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, New York, NY, USA;2. Orthopedic Surgery Residency Program, Boston University School of Medicine, Boston, MA, USA;3. The State University of New York Upstate Medical University, Syracuse, NY, USA;1. Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA;2. Indiana University Health Physicians Orthopedics & Sports Medicine, Fishers, IN, USA;1. Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA;2. Department of Orthopaedics, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA;1. Department of Orthopaedic Surgery, Cleveland Clinic Florida, Weston, FL, USA;2. Florida Atlantic University, Charles E. Schmidt School of Medicine, Boca Raton, FL, USA |
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| Abstract: | Total hip arthroplasty is one of the most successful surgeries used in medicine today. A major complication associated with significant comorbidity for THA is periprosthetic fracture. A number of risk factors associated with periprosthetic fracture have been identified, including the use of uncemented femoral fixation. In patients with significant risk factors, we use a collarless, composite beam cemented stem in order to mitigate the risk of periprosthetic fractures. This article describes the surgical technique utilized to obtain a safe and effective cemented fixation through the direct anterior approach of the hip. |
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