The “Inside-Out” Anterior Osteotomy of the Proximal Femur via the Direct Anterior Approach in Revision Hip Arthroplasty
Osteotomy techniques used for wide exposure during femoral component revision include the extended trochanteric osteotomy and its modifications. We describe an anterior proximal femur osteotomy technique starting from the inside of the femoral canal at the bone-implant interface and heading outward....
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344123001243 |
| _version_ | 1797377871795191808 |
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| author | Sania Mahmood, MD Brian T. Muffly, MD Thomas L. Bradbury, MD |
| author_facet | Sania Mahmood, MD Brian T. Muffly, MD Thomas L. Bradbury, MD |
| author_sort | Sania Mahmood, MD |
| collection | DOAJ |
| description | Osteotomy techniques used for wide exposure during femoral component revision include the extended trochanteric osteotomy and its modifications. We describe an anterior proximal femur osteotomy technique starting from the inside of the femoral canal at the bone-implant interface and heading outward. The technique is used in conjunction with the extended direct anterior approach and allows direct access to and visualization of the anterior, medial, and lateral bone-implant interfaces. This technique is most useful for the removal of collared, fully hydroxyapatite-coated double-tapered femoral stems, in which bone-implant interfaces need to be accessed for removal of a well-osseointegrated hip arthroplasty implant. |
| first_indexed | 2024-03-08T19:59:36Z |
| format | Article |
| id | doaj.art-e0908d644ed14764a8ea26f2918ff351 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-03-08T19:59:36Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-e0908d644ed14764a8ea26f2918ff3512023-12-24T04:45:41ZengElsevierArthroplasty Today2352-34412023-12-0124101219The “Inside-Out” Anterior Osteotomy of the Proximal Femur via the Direct Anterior Approach in Revision Hip ArthroplastySania Mahmood, MD0Brian T. Muffly, MD1Thomas L. Bradbury, MD2Emory University Orthopaedic and Spine Hospital, Emory Healthcare, Tucker, GA, USA; Corresponding author. Emory University Orthopaedic and Spine Hospital, 1455 Tucker Road E, Tucker, GA 30084, 440 Firestone Dr., Tucker, GA 30084, USA. Tel.: +1 301 221 0032.Emory University Orthopaedic and Spine Hospital, Emory Healthcare, Tucker, GA, USATotal Joint Specialists, Advanced Center for Joint Replacement, Cumming, GA, USAOsteotomy techniques used for wide exposure during femoral component revision include the extended trochanteric osteotomy and its modifications. We describe an anterior proximal femur osteotomy technique starting from the inside of the femoral canal at the bone-implant interface and heading outward. The technique is used in conjunction with the extended direct anterior approach and allows direct access to and visualization of the anterior, medial, and lateral bone-implant interfaces. This technique is most useful for the removal of collared, fully hydroxyapatite-coated double-tapered femoral stems, in which bone-implant interfaces need to be accessed for removal of a well-osseointegrated hip arthroplasty implant.http://www.sciencedirect.com/science/article/pii/S2352344123001243Direct anterior osteotomyRevision hip osteotomyFemur osteotomy technique |
| spellingShingle | Sania Mahmood, MD Brian T. Muffly, MD Thomas L. Bradbury, MD The “Inside-Out” Anterior Osteotomy of the Proximal Femur via the Direct Anterior Approach in Revision Hip Arthroplasty Arthroplasty Today Direct anterior osteotomy Revision hip osteotomy Femur osteotomy technique |
| title | The “Inside-Out” Anterior Osteotomy of the Proximal Femur via the Direct Anterior Approach in Revision Hip Arthroplasty |
| title_full | The “Inside-Out” Anterior Osteotomy of the Proximal Femur via the Direct Anterior Approach in Revision Hip Arthroplasty |
| title_fullStr | The “Inside-Out” Anterior Osteotomy of the Proximal Femur via the Direct Anterior Approach in Revision Hip Arthroplasty |
| title_full_unstemmed | The “Inside-Out” Anterior Osteotomy of the Proximal Femur via the Direct Anterior Approach in Revision Hip Arthroplasty |
| title_short | The “Inside-Out” Anterior Osteotomy of the Proximal Femur via the Direct Anterior Approach in Revision Hip Arthroplasty |
| title_sort | inside out anterior osteotomy of the proximal femur via the direct anterior approach in revision hip arthroplasty |
| topic | Direct anterior osteotomy Revision hip osteotomy Femur osteotomy technique |
| url | http://www.sciencedirect.com/science/article/pii/S2352344123001243 |
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