PMC3744858_01
Left: Anteroposterior radiograph of the left hip showing
primary OA and a 'champagne flute' femoral canal. Right: Lateral
radiograph of the left hip demonstrating a thick anterior cortex
(white arrows).
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F1
A 60 year old male was scheduled for THA for left primary end-stage hip osteoarthritis (OA). (Fig. 1) In the operating room, a spinal-epidural anesthesia was administered.
Anteroposterior radiograph of the left hip taken
intraoperatively showing the size #14 broach stuck in the femoral
canal. The distal drill confirmed the accurate position of the second
incision.
TOORTHJ-7-272_F2.jpg
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F2
After dissection of the vastus lateralis, a drill was placed on the posterior aspect of the femur distal to the broach tip which was confirmed by an intraoperative radiograph (Fig. 2).
Anteroposterior radiograph of the pelvis at 12 weeks
postoperatively, showing left uncemented total hip arthroplasty
with Dall-Miles cables. The implant is stable and there are no radiolucencies.
TOORTHJ-7-272_F3.jpg
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F3