THE PILANKAR TECHNIQUE: INTRAOPERATIVE DEPTH GAUGE–GUIDED ACETABULAR REAMING TO PREVENT MEDIAL WALL OVER-REAMING IN PRIMARY TOTAL HIP ARTHROPLASTY
Abstract
Background: Over-reaming of the acetabular medial wall during cementless THA may compromise fixation and risk intrapelvic complications. Methods: We describe the Pilankar Technique using a 3.2-mm central drill and depth gauge measurement applied in 23 consecutive primary THAs. Results: All cups were stable with no medial wall fractures or early loosening. Conclusion: This simple quantitative adjunct helps prevent excessive medialization when fluoroscopy is unavailable
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References
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