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Ann R Coll Surg Engl. 2009 September; 91(6): 525.
PMCID: PMC2966223
Technical Notes and Tips
Bruce Campbell, Section Editor

Use of a K-Wire as an Aid to Ensuring an Accurate Neck Cut During Hip Hemi-Arthroplasty

During uncemented hemi-arthroplasty for hip fracture, the femoral neck must be cut parallel to the collar of the prosthesis. This cut is often made by ‘eyeballing’ the required angle from the top of the rasp (Fig. 1). The soft tissues often displace the rasp making it difficult to achieve an accurate neck cut. A standard K-wire can be bent to the required angle and the end slid up the femur below the vastus muscle. The cut can then be marked on the femur using the K-wire as a guide. This allows a perfectly angled cut to be made.

Figure 1
K-wire bent to the required neck cut angle as determined by the rasp.

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England