Direct Anterior Approach "No Trial Reduction Technique" in Bipolar Hemiarthroplasty for Treatment of Osteoporotic Femoral Neck Fracture: Surgical Techniques and Case Series.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Orthopedics Pub Date : 2024-12-03 DOI:10.3928/01477447-20241127-01

Chatchapol Ongkosit, Weerachai Kosuwon

引用次数: 0

Abstract

Bipolar hemiarthroplasty (BHA) for osteoporotic femoral neck fractures has a risk of proximal femoral fracture during trials, especially with larger trial bipolar shells. This study introduces a novel technique for BHA via the direct anterior approach, aiming to reduce trial use and lower the risk of iatrogenic femoral fractures. The "no trial reduction technique" involves positioning only the trial neck segment against the acetabulum's medial wall, without the bipolar shell and trial head. Fluoroscopy measures limb length differences to determine optimal femoral head and bipolar shell thickness, resulting in comparable limb lengths without early complications. [Orthopedics. 202x;4x(x):xx-xx.].

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来源期刊

Orthopedics 医学-整形外科

CiteScore

2.20

自引率

0.00%

发文量

160

审稿时长

3 months

期刊介绍： For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.