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Updated: Feb 10, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
Previously unreported complication of trephine reamers in revision total hip arthroplasty
Matthew S Austin1, Gregg R Klein, Paul F Pollice
1Division of Orthopedic Surgery, Department of Surgery, Cooper University Hospital, Camden, New Jersey 08103, USA.
Abstract:
Trephine reamers have been used in revision total hip arthroplasty to facilitate the removal of femoral prostheses without creating additional osteotomy sites. These reamers are available in graduated sizes so as to minimize bone loss. We present a complication not previously reported in the literature. While performing the extraction of a well-fixed femoral prosthesis, the trephine reamer broke at its distal end, expanded, and created a cortical defect distal to the prosthesis.
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