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Background Trochanteric osteotomy is a technique that allows expanded exposure and access to the femoral canal and acetabulum for a number of indications. Charnley strongly advocated for performance of a standard trochanter osteotomy during
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Department Of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden
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mantle, or there may be a need to improve the exposure or a correction of femoral deformities. In such cases an extended trochanteric osteotomy (ETO) could facilitate the revision surgery. The aim of this review article is to describe the history and
IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, Milan, Italy
Fondazione Livio Sciutto Onlus, Campus Savona - Università degli Studi di Genova, Via Magliotto 2, Savona, Italy
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IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, Milan, Italy
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Fondazione Livio Sciutto Onlus, Campus Savona - Università degli Studi di Genova, Via Magliotto 2, Savona, Italy
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remodeling, extended trochanteric osteotomy plus a diaphyseal fitting implant is suggested III A Non-supportive and severely damaged metaphysis with >4 cm of diaphyseal bone available for distal fixation Extensively porous-coated stem with
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posterolateral approach to the hip is the most popular approach. It allows for excellent exposure of the acetabulum, the posterior column and ilium. Additionally, a trochanteric osteotomy, or extended trochanteric osteotomy (ETO) can be used even if the choice is
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trochanteric osteotomy. 6 , 8 In this review 12 hips (10.5%) were noted to develop HO consistent with Brooker Class 1 or 2, and this rate is comparable to other studies that reported an incidence of 11.6% (21/181 hips) and 13% (12/92 hips). 6 , 8
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trochanter impinges against the ilium or posterior rim of the acetabulum. 37 Furthermore, they reported a new satisfying technique in which they distalized the greater trochanter after performing a trochanteric osteotomy. In their review, they report 27
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of the reconstructed hip. In this regard, the shortening techniques that preserve the abductor attachment, and other methods that remove the abductors with trochanteric osteotomy are regarded as two distinct approaches. There is substantial agreement
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University of Leeds, Leeds, UK
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University of Leeds, Leeds, UK
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. (b) Unstable transverse B1 periprosthetic femoral fracture treated with extended trochanteric osteotomy to remove proximal cement, modular tapered cementless stem and cement-in-cement constrained acetabular component exchange. Outcome of
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, advanced age (P = 0.03), higher body mass index (P = 0.01), revision requiring exchange of both the femoral and acetabular components (P < 0.01), and revision procedures with a trochanteric osteotomy (P < 0.02) were all associated with successful post
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by pre-operative imaging. In Vastel’s series, 8 the surgical procedure was performed via a lateral approach by trochanteric osteotomy with anterior dislocation following Ganz’s technique, without preservation of the distal muscle attachment
