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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
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dynamic hip screw (DHS), are nowadays accepted options for surgical fixation of simple trochanteric fractures (AO-OTA 31-A1), multi-fragmentary trochanteric fractures (AO-OTA 31-A2), and some subtypes of femoral neck fractures with a rather vertical
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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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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
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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, surgical hip dislocation, and periacetabular osteotomy (PAO) has increased over time. 1 The purpose of this article is to review current knowledge about complications of joint preservation procedures of the hip. Preoperative workup A workup of
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involving at least three perforations of the necrotic border. 20 , 22 This procedure is carried out under fluoroscopic guidance through the trochanteric ridge. 20 , 22 Later, Mont et al reported in 2004 that both classic large technique and the
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reviewed. In addition, although an additional femoral derotational osteotomy can be performed as a part of hip-preserving procedures for DDH, its indications remain unclear, and to date, no agreement has been reached on the threshold value and the amount of
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femur is completely cartilaginous at birth. The cephalic nucleus of ossification appears at about six months of age while the trochanteric nucleus starts to ossify at five to six years. Femoral anteversion and cervico-diaphyseal angle decrease with age
