Direct Anterior Cup-Half Cage for Revision and Complex Primary Total Hip Arthroplasty: Surgical Technique
As surgeons' comfort with the direct anterior approach (DAA) for total hip arthroplasty continues to increase, there is a growing interest in performing complex surgeries through this approach. Acetabular bone loss and/or pelvic discontinuity in the primary or revision setting often requires sp...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-08-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344122000371 |
| _version_ | 1798004603521859584 |
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| author | Alex Lancaster, MD Emily Boes, MD Jeremy Gililland, MD Lucas Anderson, MD |
| author_facet | Alex Lancaster, MD Emily Boes, MD Jeremy Gililland, MD Lucas Anderson, MD |
| author_sort | Alex Lancaster, MD |
| collection | DOAJ |
| description | As surgeons' comfort with the direct anterior approach (DAA) for total hip arthroplasty continues to increase, there is a growing interest in performing complex surgeries through this approach. Acetabular bone loss and/or pelvic discontinuity in the primary or revision setting often requires specialized implants such as a cup-cage construct. We describe our surgical technique for implanting modified cup-half cages through the DAA and show 2 case examples of how this technique was utilized in the setting of complex acetabular bone loss. In our experience, this is an effective method for complex total hip arthroplasty, with the potential added benefits of the DAA of reduced soft-tissue dissection, direct measurement of leg length, and ease of fluoroscopic navigation for implant positioning. |
| first_indexed | 2024-04-11T12:26:13Z |
| format | Article |
| id | doaj.art-d556776c65ab447f9fcdfb694e125c00 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-04-11T12:26:13Z |
| publishDate | 2022-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-d556776c65ab447f9fcdfb694e125c002022-12-22T04:23:55ZengElsevierArthroplasty Today2352-34412022-08-0116140149Direct Anterior Cup-Half Cage for Revision and Complex Primary Total Hip Arthroplasty: Surgical TechniqueAlex Lancaster, MD0Emily Boes, MD1Jeremy Gililland, MD2Lucas Anderson, MD3Corresponding author. University of Utah, 1255 E Colonial Place, Salt Lake City, UT 84012, USA. Tel.: +1 317 554 9903.; Department of Orthopaedics, University of Utah, Salt Lake City, UT, USADepartment of Orthopaedics, University of Utah, Salt Lake City, UT, USADepartment of Orthopaedics, University of Utah, Salt Lake City, UT, USADepartment of Orthopaedics, University of Utah, Salt Lake City, UT, USAAs surgeons' comfort with the direct anterior approach (DAA) for total hip arthroplasty continues to increase, there is a growing interest in performing complex surgeries through this approach. Acetabular bone loss and/or pelvic discontinuity in the primary or revision setting often requires specialized implants such as a cup-cage construct. We describe our surgical technique for implanting modified cup-half cages through the DAA and show 2 case examples of how this technique was utilized in the setting of complex acetabular bone loss. In our experience, this is an effective method for complex total hip arthroplasty, with the potential added benefits of the DAA of reduced soft-tissue dissection, direct measurement of leg length, and ease of fluoroscopic navigation for implant positioning.http://www.sciencedirect.com/science/article/pii/S2352344122000371Total hip arthroplastyRevisionCup-cageDirect anterior approach |
| spellingShingle | Alex Lancaster, MD Emily Boes, MD Jeremy Gililland, MD Lucas Anderson, MD Direct Anterior Cup-Half Cage for Revision and Complex Primary Total Hip Arthroplasty: Surgical Technique Arthroplasty Today Total hip arthroplasty Revision Cup-cage Direct anterior approach |
| title | Direct Anterior Cup-Half Cage for Revision and Complex Primary Total Hip Arthroplasty: Surgical Technique |
| title_full | Direct Anterior Cup-Half Cage for Revision and Complex Primary Total Hip Arthroplasty: Surgical Technique |
| title_fullStr | Direct Anterior Cup-Half Cage for Revision and Complex Primary Total Hip Arthroplasty: Surgical Technique |
| title_full_unstemmed | Direct Anterior Cup-Half Cage for Revision and Complex Primary Total Hip Arthroplasty: Surgical Technique |
| title_short | Direct Anterior Cup-Half Cage for Revision and Complex Primary Total Hip Arthroplasty: Surgical Technique |
| title_sort | direct anterior cup half cage for revision and complex primary total hip arthroplasty surgical technique |
| topic | Total hip arthroplasty Revision Cup-cage Direct anterior approach |
| url | http://www.sciencedirect.com/science/article/pii/S2352344122000371 |
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