Abstract
In minimally invasive direct anterior total hip arthroplasty double offset broach handles are used, in order to facilitate the preparation of the femoral canal. The maximum value of the main force peak and the impulse of two types of double offset broach handles (A European version, B American version) were compared to a single offset broach handle (S). Results have demonstrated that the highest values of the main force peak and force impulse were found in the single offset broach handle. Broach handle A had higher impulse values and lower maximum force values compared to broach handle B. In double offset broach handles less energy is transmitted to the tip. Broach handle A has a lower force peak than B and therefore a reduced risk of bone fracture.