A Simple and Reliable Technique for Placing the Femoral Neck Guide Pin in Hip Resurfacing Arthroplasty

Abstract Early failure of hip resurfacing has been attributed to component malposition and other factors. Accurate placement of the femoral guide pin is challenging with commercial guides, and computer navigation adds considerable cost to the procedure. Precise pin placement can be achieved by drill...

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Bibliographic Details
Published inThe Journal of arthroplasty Vol. 25; no. 5; pp. 832 - 834
Main Authors Hurst, Jason M., MD, Millett, Peter J., MD, MSc
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2010
Subjects
Arthroplasty, Replacement, Hip - methods
Bone Malalignment - prevention & control
Bone Nails
component malposition
femoral guide pin
Femur Neck - surgery
hip resurfacing
Humans
Orthopedics
femoral guide pin
component malposition
hip resurfacing
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Summary:Abstract Early failure of hip resurfacing has been attributed to component malposition and other factors. Accurate placement of the femoral guide pin is challenging with commercial guides, and computer navigation adds considerable cost to the procedure. Precise pin placement can be achieved by drilling a 2.8-mm pin across the hip joint in a retrograde fashion similar to placing a dynamic hip screw pin. After hip exposure and dislocation, the femoral guide pin can be advanced using the predrilled tract and then used for femoral head preparation.
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ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2009.12.012