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International Orthopaedics
Erschienen in: International Orthopaedics 4/2017

07.06.2016 | Original Paper

Radiographic templating of total hip arthroplasty for femoral neck fractures

verfasst von: Dror Lakstein, Ira Bachar, Ronen Debi, Omri Lubovsky, Ornit Cohen, Zachary Tan, Ehud Atoun

Erschienen in: International Orthopaedics | Ausgabe 4/2017

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Abstract

Purpose

The purpose of this study was to evaluate the use of pre-operative digital templating to minimize complications including limb length discrepancy (LLD), intraoperative fractures and early dislocations in patients with intracapsular femoral neck fractures.

Methods

We retrospectively compared 23 patients undergoing total hip arthroplasty (THA) for intracapsular femoral fractures with pre-operative digital templating and 48 patients without templating.

Results

The mean post-operative LLD was significantly lower in patients who had pre-operative templating than in the control group (6.7 vs. 11.5 mm, p = 0.023). Only three patients (13 %) with templating had LLD greater than 1.5 cm, compared to the 15 patients (31 %) without templating (p = 0.17). In eight cases the final femoral stem size matched the templated size, while 19 patients were within two size increments. Complications included one dislocation and one intra-operative fracture in the control group.

Conclusion

The present study demonstrated that careful pre-operative planning may reduce LLD in patients undergoing THA due to intracapsular hip fractures.
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Metadaten
Titel
Radiographic templating of total hip arthroplasty for femoral neck fractures
verfasst von
Dror Lakstein
Ira Bachar
Ronen Debi
Omri Lubovsky
Ornit Cohen
Zachary Tan
Ehud Atoun
Publikationsdatum
07.06.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 4/2017
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-016-3235-y

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