Intraoperative Femur Fracture Risk During Primary Direct Anterior Approach Cementless Total Hip Arthroplasty With and Without a Fracture Table

The Journal of Arthroplasty
Eric M CohenLee E Rubin

Abstract

There is no study to date comparing intraoperative femur fractures (IFFs) in the direct anterior approach (DAA) with and without a fracture table. We hypothesize that there is no significant difference in the IFF with and without a fracture table when performed by experienced DAA hip surgeons. This study is a 1-year retrospective review of patients who underwent DAA total hip arthroplasty by 2 surgeons: one surgeon uses a flat table and manually elevates the femur with a large bone hook, while the other surgeon uses a fracture table and a mechanical femoral elevator. Exclusion criteria included cemented femoral implants, femoral neck fractures, and lack of 6-month follow-up. We identified 487 patients for analysis (220 male and 267 female, average age 66.55 years). There were 12 total IFFs (2.46%): 8 female and 4 male patients. The average age of IFF patients was 70.67 years and in nonfracture patients was 66.00 years. There was no difference in gender (P = .2981) or age (P = .2099) between IFF and nonfracture patients. In the fracture table group, there were 6 IFFs (2.22%) in 271 patients; in the nonfracture table group, there were 6 IFFs (2.76%) in 216 patients. There was no statistical difference in IFF between the 2 groups ...Continue Reading

Associated Clinical Trials

Citations

Jan 30, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Mohamed SarrajLuc Rubinger
Dec 22, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Trevor StubbsSameer M Naranje
Jul 18, 2019·Journal of Orthopaedic Surgery and Research·Xiangpeng KongWei Chai
Aug 1, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Phonthakorn PanichkulJatupon Kongtharvonskul
Jan 9, 2021·Archives of Orthopaedic and Trauma Surgery·Constant FoisseyCécile Batailler
Jan 22, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Ahmed SiddiqiNicolas S Piuzzi
Mar 21, 2018·The Journal of Arthroplasty·James M HartfordDominick L Frosch

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