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Review
. 2021 Oct;52(4):297-304.
doi: 10.1016/j.ocl.2021.05.002.

Reduction of Periprosthetic Proximal Femur Fracture in Direct Anterior Total Hip According to Stem Design

David A Crawford  1 , Keith R Berend  2
Affiliations
Review

Reduction of Periprosthetic Proximal Femur Fracture in Direct Anterior Total Hip According to Stem Design

David A Crawford et al. Orthop Clin North Am. 2021 Oct.

Abstract

The direct anterior approach (DAA) is gaining popularity in primary total hip arthroplasty (THA). Although DAA has demonstrated many advantages over other surgical approaches, periprosthetic femur fractures (PPFF) rates continue to be higher. Femoral stem designs that allow for easier insertion via a DAA may contribute to the higher rates of fracture seen in this approach. Certain stem designs and fixation methods may reduce the risk of PPFF via a DAA in primary THA.

Keywords: Cemented; Cementless; Direct anterior; Periprosthetic femur fracture; Stem design; Total hip arthroplasty.

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