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- W2028018738 abstract "Background Intraoperative femoral fracture is a complication of cementless total hip arthroplasty (THA), the number of which is increasing. This fracture may occur when the force applied to the femur exceeds the bone strength. The force applied to the femur during THA is basically the impact force required for insertion of femoral components. The purpose of the present study was to investigate the relationship of the impact force required for insertion of femoral components and intraoperative femoral fracture in THA. Methods Two types of femoral components, a short double-wedge type in 20 patients (group S) and a long conventional type in 20 patients (group L), were implanted by the same surgeon. The impact force of the femoral component was measured at final rasping, trial and final seating. Results The impact force at final rasping, trial and final seating of the femoral component averaged 2241.9 N, 1716.9 N and 1409.2 N in group S, respectively, and 1729.7 N, 1508.9 N and 1570.6 N in group L, respectively. The impact force required for insertion of femoral components in group S was larger than that in group L (P < 0.05). Intraoperative femoral fracture occurred in four patients in group S during final rasping and in none in group L. Conclusions Surgeons should be more cautious when short femoral components with wedges, such as those used in the present study, are inserted." @default.
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- W2028018738 date "2009-10-01" @default.
- W2028018738 modified "2023-09-25" @default.
- W2028018738 title "Measurement of the impact force of the femoral component during cementless total hip arthroplasty" @default.
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- W2028018738 doi "https://doi.org/10.1097/bco.0b013e3181a1fe8c" @default.
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