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Cemented Femoral Stem Technique Utilizing the Direct Anterior Approach to Total Hip Arthroplasty

March 01, 2017

Contributors: John F Sloboda, MD; Joseph T Moskal, MD

Periprosthetic fracture is now the third leading cause for revision of total hip arthroplasty. One of the leading causes of periprosthetic fractures in the international registry data worldwide is the use of cementless stems, especially in the elderly (ages 65-70 and older). Despite the international data, cementless stem use in the US and Canada is 93%. With the increasing use of the direct anterior approach to help strengthen and broaden the surgeon's armamentarium in treating all patients with the best choice of femoral fixation, we present the cementing technique via the direct anterior approach. Key techniques to improve implant position via safe exposure, broaching, and reproducible excellent cementing are shown in order to demonstrate the approach's utility in treating all patient populations. Outcomes are discussed supporting greater consideration of femoral stem cementing and decision making for type of cemented femoral stem as well.

Results for "Surgical Exposure"

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