In total hip arthroplasty extended approach, simplified luxation and improved exposure are the major advantages of trochanteric osteotomy. The main complication of the iatrogenic fracture is the nonunion which has occurred in about 20% of our patients (61 operations, 80% revision procedures). The rate of nonunion decreases using an optimized technique of reattachment, in particular; sufficient thickness of wires and placing of K-wires in the trochanter minor region.
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