The Orthobullets Podcast Podiums⎪Recon⎪Mitigating Femoral Fractures in Direct Anterior Hip Arthroplasty
Apr 18, 2025
Darwin Chen, an orthopedic surgeon from New York, sheds light on preventing femoral fractures in direct anterior hip arthroplasty. He discusses the key role of surgical exposure and technique, emphasizing the importance of safe broaching and innovative stem designs for enhancing stability. Chen also delves into advanced techniques for managing fractures during surgery, highlighting the significance of proper implant selection and overcoming psychological barriers to improve outcomes. Tune in for invaluable insights from his experience!
AI Snips
Chapters
Transcript
Episode notes
Periprosthetic Fracture Risks
- Periprosthetic femoral fractures remain a major problem in hip replacements despite low incidence.
- They are the second leading cause for early revision according to AJRR data.
Ensure Great Femoral Exposure
- Achieve excellent femoral exposure before broaching to reduce fracture risk.
- Use the "waka waka" sign by sounding the femur to confirm a clear path before broaching.
Personal Experience with Femoral Perforation
- Darwin Chen experienced his first femoral perforation after 12 years of anterior approach surgery, illustrating its unpredictability.
- Early recognition and cautious stem use can allow correction without implant change.