Creation of a Femoral Cortical Window to Facilitate Total Hip Arthroplasty in Patients with Sickle Cell Hemoglobinopathies
| Autor: | Samuel S. Wellman, Kevin T. Hug, David E. Attarian, Michael P. Bolognesi, Anil K. Gupta |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Medullary cavity business.industry Arthroplasty Replacement Hip Femoral canal Anemia Sickle Cell Perioperative Surgery Radiography medicine.anatomical_structure Femur Head Necrosis Femoral head osteonecrosis Humans Medicine Orthopedics and Sports Medicine In patient Cortical bone Femur Femoral component business Total hip arthroplasty |
| Zdroj: | The Journal of Arthroplasty. 28:323-325 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2012.06.021 |
| Popis: | Patients with sickle cell hemoglobinopathies often have femoral head osteonecrosis with collapse, and can benefit greatly from total hip arthroplasty. However, numerous procedural challenges and perioperative complications make these cases difficult. More specifically, femoral canal preparation and proper component placement can be particularly challenging due to focal medullary sclerosis caused by repeated vascular insults to the bone. This study describes the creation of an anterior metaphyseal cortical bone window to aid in identification of the true femoral canal and to facilitate femoral component implantation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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