Aim of this study was to evaluate the outcome fol-lowing extended trochanteric osteotomy in series of single surgeon, with emphasis on complications and union of osteotomy. Retrospective Case Series of all patients who had revision total hip replacement surgery performed by senior author between 2003 and 2012, with follow up between 1 and 10 years. 108 cases of revision hip arthroplasty with use of Extended Trochanteric Osteotomy were evaluated. In 101 cases solid bony union was achieved. In 7 cases where the bony union was not established, an asymptomatic and stable position was achieved. In 12 cases greater trochanter fracture was noted postoperatively with proximal migration 5 to 15mm. 1 patient required surgery to re-attach greater trochanter. Extended Trochanteric Osteotomy is a safe and very useful technique that can be used in revision hip surgery.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Stress Analysis in Conversion Total Hip Arthroplasty: A Finite Element Analysis on Stem Length and Distal Screw Hole.
J Clin Med
December 2024
Department of Orthopaedic Surgery, Institute of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba 305-8575, Ibaraki, Japan.
Proximal femoral fractures are particularly common in older adults, and cases requiring conversion to total hip arthroplasty may arise because of treatment failure or osteoarthritis. Fractures around the distal screw removal holes can be problematic. This study aimed to analyze the relationship between stem length and femoral stress distribution to determine the optimal stem length.
View Article and Find Full Text PDFA Novel Technique for Femoral Stem Extraction Through the Direct Anterior Approach: The Medial Episiotomy With Anterior Transfemoral Osteotomy.
Arthroplast Today
December 2024
Northshore University Hospital at Northwell Health, Manhasset, NY, USA.
This report describes a medial calcar episiotomy with partial anterior transfemoral osteotomy of the proximal femur to aid in removal of a femoral component in setting of revision total hip arthroplasty through a direct anterior approach. Revision total hip arthroplasty is challenging, labor-intensive, and carries high complication rates. Previously described techniques such as extended trochanteric osteotomies can be utilized to facilitate removal of fixed femoral stems.
View Article and Find Full Text PDFExtended Trochanteric Osteotomy as a Tool in the Revision of Hip Arthroplasty Due to Aseptic Loosening.
Cureus
October 2024
Medicine, Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, MEX.
Aseptic loosening of femoral and acetabular components is a common complication following total hip arthroplasty (THA). It presents a significant diagnostic and therapeutic challenge for orthopedic surgeons, as it requires differentiation from infection and often necessitates complex revision surgery. We present the case of a 76-year-old female with a surgical history of total right hip arthroplasty performed one year prior.
View Article and Find Full Text PDFTransarterial Embolization for Musculoskeletal Pain Management: Expert Panel Narrative Review.
AJR Am J Roentgenol
October 2024
IR Centers USA, North Carolina, USA.
Article Synopsis
- - Musculoskeletal embolization has emerged as a novel treatment for chronic joint pain by targeting joint hypervascularity, interrupting the inflammatory cycle, and providing pain relief.
- - Genicular artery embolization (GAE) is the most researched procedure, especially for knee osteoarthritis, and has shown positive results in studies, including randomized control trials against sham treatments.
- - Beyond the knee, embolization is being explored for other joints like the shoulder, elbow, hip, and ankle to treat various conditions, illustrating its expanding role in managing chronic musculoskeletal pain.
Is suture-based cerclage biomechanically superior to traditional metallic cerclage for fixation of periprosthetic femoral fractures: A matched pair cadaveric study.
Clin Biomech (Bristol)
December 2024
Department of Orthopedic Surgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA. Electronic address:
Background: While traditional metallic cerclage remains the primary method in clinical application, non-metallic cerclage systems have recently gained popularity due to low risks of soft tissue irritation and bone intrusion. The objective of this study was to assess the performance of a novel non-metallic suture-based cerclage in comparison to traditional metallic cerclage cables for fixation of periprosthetic femoral fractures.
Methods: An extended trochanteric osteotomy was performed on eight pairs of cadaveric femora, followed by reduction using either metallic cerclages (Group I) or the suture-based cerclage (Group II).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!