Total Hip Arthroplasty Broach Failure, Incarceration, and Retrieval: A Case Report.

Area of Science:

• Orthopedic Surgery
• Surgical Complications

Background:

• Direct anterior total hip arthroplasty presents a challenging learning curve.
• Femoral-sided intraoperative complications are a known risk in this procedure.

Purpose of the Study:

• To report a rare case of femoral broach failure during direct anterior total hip arthroplasty.
• To describe a novel technique for extracting an incarcerated femoral broach.

Main Methods:

• A case report detailing a specific intraoperative complication during direct anterior total hip arthroplasty.
• Documentation of a unique method developed to address femoral broach incarceration.

Main Results:

• A femoral broach failed during the procedure, leading to incarceration.
• A novel extraction technique was successfully employed to remove the incarcerated broach.

Conclusions:

• Femoral broach failure is an infrequent but significant complication in direct anterior hip arthroplasty.
• Surgeons must be prepared with alternative extraction methods for incarcerated broaches.