A Novel Technique for Femoral Stem Extraction Through the Direct Anterior Approach: The Medial Episiotomy With Anterior Transfemoral Osteotomy
This report describes a medial calcar episiotomy with partial anterior transfemoral osteotomy of the proximal femur to aid in removal of a femoral component in setting of revision total hip arthroplasty through a direct anterior approach. Revision total hip arthroplasty is challenging, labor-intensi...
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Elsevier
2024-12-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344124002681 |
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| author | Brian Omslaer, DO Shaan Sadhwani, DO Jamie Henzes, DO Steven Deluca, DO Muzaffar Ali, DO |
| author_facet | Brian Omslaer, DO Shaan Sadhwani, DO Jamie Henzes, DO Steven Deluca, DO Muzaffar Ali, DO |
| author_sort | Brian Omslaer, DO |
| collection | DOAJ |
| description | This report describes a medial calcar episiotomy with partial anterior transfemoral osteotomy of the proximal femur to aid in removal of a femoral component in setting of revision total hip arthroplasty through a direct anterior approach. Revision total hip arthroplasty is challenging, labor-intensive, and carries high complication rates. Previously described techniques such as extended trochanteric osteotomies can be utilized to facilitate removal of fixed femoral stems. The technique herein described was performed in an effort to avoid the morbidity of additional dissection and risk of nonunion associated with complete osteotomy of the trochanteric region. We present a novel technique to aid in the removal of a fixed femoral stem in the setting of revision total hip arthroplasty through an anterior approach. This technique has not previously been described specifically in the literature and was performed safely and effectively for this patient. A complication-free outcome with osteotomy union was achieved on a final follow-up of 13 months. |
| format | Article |
| id | doaj-art-d2d80bc6cad44cb9b6924a78e7f852d5 |
| institution | OA Journals |
| issn | 2352-3441 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-d2d80bc6cad44cb9b6924a78e7f852d52025-08-20T01:58:31ZengElsevierArthroplasty Today2352-34412024-12-013010158310.1016/j.artd.2024.101583A Novel Technique for Femoral Stem Extraction Through the Direct Anterior Approach: The Medial Episiotomy With Anterior Transfemoral OsteotomyBrian Omslaer, DO0Shaan Sadhwani, DO1Jamie Henzes, DO2Steven Deluca, DO3Muzaffar Ali, DO4Department of Orthopaedic Surgery, UPMC Community Osteopathic, Harrisburg, PA, USADepartment of Orthopaedic Surgery, UPMC Community Osteopathic, Harrisburg, PA, USA; Corresponding author. Orthopedic Surgery Department, 4300 Londonderry Rd, Harrisburg, PA 17109, USA. Tel.: +1 973 477 2422.Department of Orthopaedic Surgery, UPMC Community Osteopathic, Harrisburg, PA, USAOrthopedic Institute of Pennsylvania, Harrisburg, PA, USANorthshore University Hospital at Northwell Health, Manhasset, NY, USAThis report describes a medial calcar episiotomy with partial anterior transfemoral osteotomy of the proximal femur to aid in removal of a femoral component in setting of revision total hip arthroplasty through a direct anterior approach. Revision total hip arthroplasty is challenging, labor-intensive, and carries high complication rates. Previously described techniques such as extended trochanteric osteotomies can be utilized to facilitate removal of fixed femoral stems. The technique herein described was performed in an effort to avoid the morbidity of additional dissection and risk of nonunion associated with complete osteotomy of the trochanteric region. We present a novel technique to aid in the removal of a fixed femoral stem in the setting of revision total hip arthroplasty through an anterior approach. This technique has not previously been described specifically in the literature and was performed safely and effectively for this patient. A complication-free outcome with osteotomy union was achieved on a final follow-up of 13 months.http://www.sciencedirect.com/science/article/pii/S2352344124002681HipRevisionExtractionOsteotomyDirect anterior |
| spellingShingle | Brian Omslaer, DO Shaan Sadhwani, DO Jamie Henzes, DO Steven Deluca, DO Muzaffar Ali, DO A Novel Technique for Femoral Stem Extraction Through the Direct Anterior Approach: The Medial Episiotomy With Anterior Transfemoral Osteotomy Arthroplasty Today Hip Revision Extraction Osteotomy Direct anterior |
| title | A Novel Technique for Femoral Stem Extraction Through the Direct Anterior Approach: The Medial Episiotomy With Anterior Transfemoral Osteotomy |
| title_full | A Novel Technique for Femoral Stem Extraction Through the Direct Anterior Approach: The Medial Episiotomy With Anterior Transfemoral Osteotomy |
| title_fullStr | A Novel Technique for Femoral Stem Extraction Through the Direct Anterior Approach: The Medial Episiotomy With Anterior Transfemoral Osteotomy |
| title_full_unstemmed | A Novel Technique for Femoral Stem Extraction Through the Direct Anterior Approach: The Medial Episiotomy With Anterior Transfemoral Osteotomy |
| title_short | A Novel Technique for Femoral Stem Extraction Through the Direct Anterior Approach: The Medial Episiotomy With Anterior Transfemoral Osteotomy |
| title_sort | novel technique for femoral stem extraction through the direct anterior approach the medial episiotomy with anterior transfemoral osteotomy |
| topic | Hip Revision Extraction Osteotomy Direct anterior |
| url | http://www.sciencedirect.com/science/article/pii/S2352344124002681 |
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