J
Jessica Hooper
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Jul 31, 2026
Complex primary THA with AA (S+N Surgeon Roundtable)
21:06
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21:45
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28:25

Joe SchwabHOST
And staying with you, Jessica, how do canal morphology and maybe bone quality influence your femoral strategy when you're doing a complex primary, especially when you're sort of balancing, you know, fixation of the component, protecting the soft tissues, and being able to do this in a reproducible way?

Jessica HooperGUEST
Um, I think the, the triple taper stems are really versatile, and I would say I probably use them for, you know, 90% of my primaries.

Jessica HooperGUEST
Um, but the, the, the other 10%, either with really poor bone quality, um, really small patients, um, abnormal version on the femur, those are things that I, that I notice, um, and pick up in my templating, um, so that I can anticipate challenges, prevent fractures, um, or prevent mal, uh, malrotating my stem while I'm, while I'm broaching, um, and, and knowing if I have to go away from that, that triple taper.

Jessica HooperGUEST
Um, I think that another one too that, that we probably talk about less is the, um, patients who are s- very small but also have a lot of offset.

Jessica HooperGUEST
Um, that can be kind of a tough one to, to plan for, um, because if your, if the-- if your go-to for really small patients or, um, dysplastic patients is, is a Wagner-style stem, it doesn't really have a lot of offset options.
6 MINS LATER

Joe SchwabHOST
So if you see a calcar fracture occurring and it's during a, a more complex primary, walk me through kind of your immediate decision framework w- through recognition of the problem, your assessment of maybe broach stability, what your concepts are for fixation, and whether you're gonna stick with plan A that you came into the operating room with, or whether you're gonna be thinking about other plans.