Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques

Simarjeet Puri; Peter K. Sculco; Matthew P. Abdel; David S. Wellman; Elizabeth B. Gausden

doi:10.1016/j.artd.2023.101243

Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques

Simarjeet Puri, Peter K. Sculco, Matthew P. Abdel, David S. Wellman, Elizabeth B. Gausden

Orthopedic Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

The combination of an aging population and increased utilization of total hip arthroplasty (THA) is leading to a higher incidence of conversion THA, defined as conversion from previous hip fracture surgery to THA. Conversion THA is a more technically challenging, time-consuming, and costly procedure compared to primary THA and frequently involve more medically complex patients. Thus, the aim of this review is to provide a rubric for surgeons to use when preparing for a conversion THA. We have assessed the compatibility of commonly available extraction devices with popular femoral nails. Furthermore, we review technical pearls for conversion THA including equipment planning, operative setup, intraoperative imaging, extraction sequencing, and troubleshooting commonly encountered obstacles.

Original language	English (US)
Article number	101243
Journal	Arthroplasty Today
Volume	24
DOIs	https://doi.org/10.1016/j.artd.2023.101243
State	Published - Dec 2023

Keywords

Complex total hip arthroplasty
Conversion total hip arthroplasty
Surgical technique

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.1016/j.artd.2023.101243

Cite this

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title = "Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques",

abstract = "The combination of an aging population and increased utilization of total hip arthroplasty (THA) is leading to a higher incidence of conversion THA, defined as conversion from previous hip fracture surgery to THA. Conversion THA is a more technically challenging, time-consuming, and costly procedure compared to primary THA and frequently involve more medically complex patients. Thus, the aim of this review is to provide a rubric for surgeons to use when preparing for a conversion THA. We have assessed the compatibility of commonly available extraction devices with popular femoral nails. Furthermore, we review technical pearls for conversion THA including equipment planning, operative setup, intraoperative imaging, extraction sequencing, and troubleshooting commonly encountered obstacles.",

keywords = "Complex total hip arthroplasty, Conversion total hip arthroplasty, Surgical technique",

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language = "English (US)",

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T1 - Total Hip Arthroplasty After Proximal Femoral Nailing

T2 - Preoperative Preparation and Intraoperative Surgical Techniques

AU - Puri, Simarjeet

AU - Sculco, Peter K.

AU - Abdel, Matthew P.

AU - Wellman, David S.

AU - Gausden, Elizabeth B.

PY - 2023/12

Y1 - 2023/12

N2 - The combination of an aging population and increased utilization of total hip arthroplasty (THA) is leading to a higher incidence of conversion THA, defined as conversion from previous hip fracture surgery to THA. Conversion THA is a more technically challenging, time-consuming, and costly procedure compared to primary THA and frequently involve more medically complex patients. Thus, the aim of this review is to provide a rubric for surgeons to use when preparing for a conversion THA. We have assessed the compatibility of commonly available extraction devices with popular femoral nails. Furthermore, we review technical pearls for conversion THA including equipment planning, operative setup, intraoperative imaging, extraction sequencing, and troubleshooting commonly encountered obstacles.

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KW - Surgical technique

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Total Hip Arthroplasty After Proximal Femoral Nailing: Preoperative Preparation and Intraoperative Surgical Techniques

Abstract

Keywords

ASJC Scopus subject areas

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