ICJR Interviews: Reducing Early Periprosthetic Fracture Risk in THA
Older, thinner women who undergo elective direct anterior approach total hip arthroplasty (THA) performed by Jose A. Rodgriguez, MD, now receive a cemented femoral component.
The reason? Through univariate and multivariate analysis, Dr. Rodriguez and his partner at New York’s Lenox Hill Hospital, John Cooper, MD, found that these patients are at greatest risk for proximal periprosthetic femoral fracture in the 90 days following surgery.
They analyzed charts and radiographs from more than 900 THAs they had done through the direct anterior approach, and fortunately, only 13 early periprosthetic fractures were found. The common denominators were female gender, age over 70 years, and BMI < 25.
Use of a cemented, rather than uncemented, femoral component mitigates the fracture risk, Dr. Rodriguez said.
Click the image above to hear him discuss the study, “Early Proximal Periprosthetic Femoral Fractures in Total Hip Arthroplasty using a Direct Anterior Approach” (Paper 42), which was presented at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando.
Producer: Susan Doan-Johnson; Director: Michael Bugera; Post Production: Charles J. Maynard