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Cemented Femoral Fixation Using a Direct Anterior Approach: Background, Indications, and Surgical Technique
Nicholas M Hernandez1, Elizabeth B Gausden, Michael J Taunton
1From the Department of Orthopaedic Surgery (Dr. Gausden), Hospital for Special Surgery, New York, NY, Department of Orthopaedic Surgery (Dr. Taunton), Mayo Clinic, Rochester, MN, and the Department of Orthopaedic Surgery (Dr. Hernandez), Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Abstract:
The use of the direct anterior approach (DAA) in total hip arthroplasty has increased dramatically over the past decade. Potential benefits of the DAA include earlier functional recovery and lower risk of periprosthetic dislocation, but issues with periprosthetic fracture and femoral loosening have been reported, particularly in elderly patients. Cemented femoral fixation may offer a means to decrease early femoral failure in elderly patients undergoing the DAA. Here, we will present a step-by-step technique for cementing the femoral implant through the DAA.
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