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 : 2025-03-01 Epub 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 me-dial wall, without the bipolar shell and trial head. Fluoros-copy measures limb length differences to determine optimal femoral head and bipolar shell thickness, resulting in comparable limb lengths without early complications. [Orthopedics. 2025;48(2):74-78.].

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双极半关节置换术治疗骨质疏松性股骨颈骨折的直接前路“无试验复位技术”：手术技术和病例系列。

双极半关节置换术（BHA）治疗骨质疏松性股骨颈骨折在试验期间有股骨近端骨折的风险，特别是双极外壳较大的试验。本研究介绍了一种通过直接前路入路治疗BHA的新技术，旨在减少试验使用并降低医源性股骨骨折的风险。“无试验复位技术”包括仅将试验颈段靠在髋臼内侧壁上，不包括双极骨壳和试验头。x线检查测量肢体长度差异，以确定最佳股骨头和双极壳厚度，从而产生可比较的肢体长度，无早期并发症。[矫形手术。202 x; 4 x (x): xx-xx。]。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.