A technique for accurate reproduction of the femoral anteversion during primary total hip arthroplasty

Authors
Citation
Ia. Karnezis, A technique for accurate reproduction of the femoral anteversion during primary total hip arthroplasty, ARCH ORTHOP, 121(6), 2001, pp. 343-345
Citations number
6
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
ISSN journal
0936-8051 → ACNP
Volume
121
Issue
6
Year of publication
2001
Pages
343 - 345
Database
ISI
SICI code
0936-8051(200106)121:6<343:ATFARO>2.0.ZU;2-0
Abstract
Accurate reproduction of the femoral anteversion is important in achieving stability of the prosthetic joint in total hip arthroplasty (THA), while pl acement of the femoral stem in excessive anteversion or retroversion result s in an increased incidence of dislocation. Due to a number of factors, the current surgical technique results in significant variation between the an atomical and the surgically reconstructed femoral anteversion. This technic al note describes a method to reproduce the normal anatomical femoral antev ersion accurately in any case of primary THA. The method is based on the id ea that the initial stages of femoral canal preparation can be completed be fore the femoral neck is osteotomised and therefore at a stage when the fem oral head and neck are still accessible and can be used as landmarks for ac curate reconstruction of the femoral anteversion. The described technique f or accurate reconstruction of the anatomical version of the femoral head is indicated for all cases of primary THA where reproduction of the normal an atomical centre of rotation of the hip joint is a principal aim.