I HAVE A PATIENT WITH A LARGE AMOUNT OF FEMORAL OFFSET. HOW DO I ADDRESS THIS INTRAOPERATIVELY?

Femoral offset is defined as the perpendicular distance from the anatomic axis of the femur to the hip joint center of rotation. Large femoral offset is commonly encountered in male patients, large patients, patients with coxa vara, and in those patients with previous slipped capital femoral epiphysis. Failure to maintain native femoral offset in such patients undergoing total hip arthroplasty (THA) has several deleterious effects, including loss of abductor power, decreased bearing performance, and instability.