The extended trochanteric osteotomy in revision hip arthroplasty: A critical review of 166 cases at mean 3-year, 9-month follow-up

详细信息    查看全文

• 作者：Todd M. Miner ; Nathan G. Momberger ; David Chong ; Wayne L. Paprosky
• 刊名：The Journal of Arthroplasty
• 出版年：2001
• 出版时间：December 2001
• 年：2001
• 卷：16
• 期：8, Supplement 1
• 页码：188-194
• 全文大小：79 K

文摘

We conducted a retrospective review of 192 consecutive revision hip arthroplasties with an extended proximal femoral osteotomy performed from 1992 through January 1998. Of these osteotomies, 166 had a minimum of 2 years of clinical and radiographic follow-up (range, 2-7.5 years; average, 3 years, 9 months). All patients had a femoral reconstruction with an extended trochanteric osteotomy and an extensively porous-coated, cementless femoral component. The average age at revision was 65.8 years (range, 26-84 years). Of the 166 osteotomies, 2 nonunions (1.2 % ) and 1 malunion (0.6 % ) were identified. Seventeen hips (10.2 % ) required reoperation. Pain and walking scores improved from a mean of 6.5 preoperatively to 9.8 postoperatively. The extended trochanteric osteotomy heals predictably and enhances the surgeons' ability to address many difficult issues encountered in revision arthroplasty.