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A minimally invasive removal approach uses the existing hole in the broken broach to guide defect exposure via a cortical window near the proximal femur. The extracted broach was removed successfully using a Kuntscher nail extractor, achieving stable reconstruction. The method reports no morbidity and avoids extending the approach or additional soft-tissue dissection.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/novel-strategy-for-incarcerated-broken-broach-retrieval-in-total-hip-arthroplasty/447557/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/novel-strategy-for-incarcerated-broken-broach-retrieval-in-total-hip-arthroplasty/447557.png","ImageObject",300,407,{"name":92,"@type":93},"ahduag","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What complication is described in cementless total hip arthroplasty?","Question",{"text":113,"@type":114},"An intraoperative femoral broach fracture occurred during the extraction attempt. The report focuses on resolving incarcerated broken broach removal safely.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How is the broken broach removed using a minimally invasive technique?",{"text":118,"@type":114},"A cortical window near the proximal femur exposes the defect by leveraging the hole in the broach shoulder. The extraction is completed using a Kuntscher nail extractor.",{"name":120,"@type":111,"acceptedAnswer":121},"What are the reported outcomes after the retrieval technique?",{"text":122,"@type":114},"The technique resulted in no morbidity, avoided extending the surgical approach, and did not require additional soft-tissue dissection. Postoperatively, implant alignment and hip function were satisfactory with stable radiographs at follow-up.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},447557,1790938146,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":105,"preview_page_count":4},3985747870414,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Case Report  Journal of Orthopaedic Case Reports 2025 December:15( 12) :Page 62-66   \nNovel Strategy for Incarcerated Broken Broach Retrieval in Total Hip  \nArthroplasty  \nSanjay Agarwala1, Avinashdev D Upadhyay1, Mayank Vijayvargiya1  \nLearning Point of the Article:  \nThis case report highlights a complication involving femoral broach failure and outlines a straightforward technical solution that is not only  \nfeasible but also cost-effective and safe for the patient.  \nAbstract  \nIntroduction: The goal of femoral component positioning in cementless total hip arthroplasty (THA) is accurate restoration of joint biomechanics and a press fit between the implant and the endosteal surface of the proximal femur. We present a case detailing an intraoperative broach fracture during THAand introduce aminimally invasive techniquefor broach removal.  \nCase Report: A 45-year-old male with left hip osteoarthritis underwent left THA, and the final broach fractured during the extraction attempt. Given the hole in the proximal part of the broach’s shoulder, we created a cortical window near the proximal femur to expose the defect. The successful extraction was accomplished using aKuntschernail extractor.  \nConclusion: Notably, this technique resulted in no morbidity and eliminated the necessity for extending the approach or additional soft-tissue dissection.  \nSurgeons performing THA must be prepared for unexpected challenges and possess the necessary skills to address complications. This report presentsa case of femoral broach fracture during THAand describesan effective, economical, and safe solution to resolve the issue.  \nKeywords: Broach fracture, hip, totalhip arthroplasty, Kuntscher nail extractor  \nIntroduction  \nThe goal of positioning the femoral component in cementless totalhip arthroplasty (THA)istorestore joint biomechanics and achieve a press-fit connection between the implant and the endosteal surface of the proximal femur [ 1] . A meticulous broaching technique of the proximal femur is paramount to maximize the contact area between the femoral stem and themetaphyseal cancellous bone, providing essential support to the implant and facilitatingbiological ingrowth [2, 3].  \nIn light of this objective, we present a case involving a proximal  \ntrunnion broach fracture and elaborate on a minimally invasive technique that leverages the existing hole in the broach for extraction.  \nCase Report  \nA 45-year-old male with left hip osteoarthritis secondary toavascular necrosis of the hip underwent left THA. The patient was positioned in lateral decubitus position, and a Modified Hardinge approach for the hip was utilized. The final acetabular  \n\n| \u003Cbr>Access this article online\u003Cbr>\u003Cbr>Website: [www.jocr.co.in](www.jocr.co.in)\u003Cbr>\u003Cbr>DOI:\u003Cbr>[https://doi.org/10.13107/jocr.2025.v15.i12.6454](https://doi.org/10.13107/jocr.2025.v15.i12.6454) | Author’s Photo Gallery |  |  |\n| --- | --- | --- | --- |\n|  | | | |\n|  | Dr. Sanjay Agarwala | | Dr. Mayank Vijayvargiya |\n|  | \u003Cbr>1Department of Orthopaedics and Traumatology, P D Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India.\u003Cbr>Address of Correspondence:\u003Cbr>Dr. Sanjay Agarwala,\u003Cbr>Department of Orthopedics and Traumatology, P D Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India. [E-mail:](E-mail: drsa2011@gmail.com)[ drsa2011@gmail.com](E-mail: drsa2011@gmail.com) |  |  |\n| Submitted: 29/09/2025; Review: 15/10/2025; Accepted: November 2025; Published: December 2025 |  |  |  |\n| DOI: [https://doi.org/10.13107/jocr.2025.v15.i12.6454](https://doi.org/10.13107/jocr.2025.v15.i12.6454)\u003Cbr>© The Author(s). 2025 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ([https://creativecommons.org/licenses/by-nc/4.0/](https://creativecommons.org/licenses/by-nc/4.0/)), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit t","cbCaiaQjqOYzVX1d","https://ap.wps.com/l/cbCaiaQjqOYzVX1d","pdf",8721582,"English","# Introduction\n# Case Report\n# Conclusion\n# Protocol for Incarcerated Broken Broach Retrieval in THA\n## Identify fracture\n## Maintain exposure\n## Attempt standard removal","[{\"question\":\"What complication is described in cementless total hip arthroplasty?\",\"answer\":\"An intraoperative femoral broach fracture occurred during the extraction attempt. The report focuses on resolving incarcerated broken broach removal safely.\"},{\"question\":\"How is the broken broach removed using a minimally invasive technique?\",\"answer\":\"A cortical window near the proximal femur exposes the defect by leveraging the hole in the broach shoulder. The extraction is completed using a Kuntscher nail extractor.\"},{\"question\":\"What are the reported outcomes after the retrieval technique?\",\"answer\":\"The technique resulted in no morbidity, avoided extending the surgical approach, and did not require additional soft-tissue dissection. Postoperatively, implant alignment and hip function were satisfactory with stable radiographs at follow-up.\"}]","Novel Strategy for Incarcerated Broken Broach Retrieval in Total Hip Arthroplasty | PDF",1790721392]