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Fig. 3 | BMC Musculoskeletal Disorders

Fig. 3

From: Novel radiologic indices for stem type decision in total hip arthroplasty in patients with metaphyseo-diaphyseal mismatched Dorr A proximal femur

Fig. 3

(A) A preoperative anteroposterior radiograph of 24-year-old woman with an osteonecrosis of the femoral head. She had a Dorr A femur, and we initially decided to use the smallest type 1 stem through preoperative templating. (B) In the intraoperative radiograph, the trial of the smallest type 1 stem could not be fully inserted and distal part of the stem was captured by narrow femoral canal due to severe metaphyseo-diaphyseal (M-D) mismatch. (C) In the consequent intraoperative radiograph, the trial of type 3 C stem was fully inserted and properly located. (D) The postoperative radiograph showed properly located and stably fixed implants

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