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Direct Anterior Cup-Half Cage for Revision and Complex Primary Total Hip Arthroplasty: Surgical Technique

As surgeons' comfort with the direct anterior approach (DAA) for total hip arthroplasty continues to increase, there is a growing interest in performing complex surgeries through this approach. Acetabular bone loss and/or pelvic discontinuity in the primary or revision setting often requires specialized implants such as a cup-cage construct. We describe our surgical technique for implanting modified cup-half cages through the DAA and show 2 case examples of how this technique was utilized in the setting of complex acetabular bone loss.

Source: Arthroplasty Today

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  • American Association of Hip and Knee Surgeons
  • American Academy of Orthopedic Surgeons
  • Alpha Omega Alpha Honor Medical Society
  • Sibley Memorial Hospital
  • Johns Hopkins University