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primary hip arthroplasty. 1 – 3 There has been renewed interest in variants of this technique including the trochanteric slide osteotomy (TSO), extended trochanter osteotomy (ETO), and the transfemoral approach for both septic and aseptic revision
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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
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trochanter and os ischium is described as being approximately 2 cm. 25 Narrowing of this space can occur in extreme valgus hips or from iatrogenic causes, for instance, by offset loss after THA or extreme valgisation after hip osteotomy. Fig. 5 a
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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apex of the greater trochanter Short trochanteric osteotomy may be required Preserved femoral isthmus Cemetless cylindrical monoblock or porous modular stem <250 mm Stage III – severe Severe defect Extended trochanteric osteotomy
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-table view (F: upper image) no additional cam deformity is visible. (E and F: lower image) post-operative X-rays after anteverting periacetabular osteotomy. Note . MR, magnetic resonance; FAI, femoro-acetabular impingement; PAO, periacetabular osteotomy
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. But while some advocate hip arthroscopy as the standard treatment for intra-articular pathologies in non-arthritic hips, 5 others point out that this trend is not supported by evidence. 6 DDH is normally treated with pelvic osteotomies that
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, osteotomy level for the neck resection and implant fixation principles ( Table 1 ). 11 – 15 McTighe et al 11 proposed the term ‘short’ for stems that do not extend below the metaphyseal region of the proximal femur. In this respect, they proposed
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the first 28 patients (24 fresh fractures and four osteotomies for femoral neck non-union) were reported in 1955. 1 , 15 During the same period, other devices were also used for internal fixation of proximal femoral fractures, such as proximal
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the dense posteromedial bone that extends from distal to the lesser trochanter to the posteroinferior femoral neck. Biomechanically, the calcar can experience greater than 1000 Newtons of force upon standing and during gait. 5 The subtrochanteric
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with Smith-Peterson extension. Pipkin IV fractures with injuries of the posterior column or posterior fragment dislocation should be treated with the Kocher-Langenbeck approach or the modified Gibson approach in combination with trochanter osteotomy
