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Related Experiment Videos

[Should trochanteric osteotomy be performed during total hip replacement?].

M Smiłowicz1, J Kowalczewski

  • 1Kliniki Chirurgii Ortopedycznej Instytutu Reumatologicznego w Warszawie.

Chirurgia Narzadow Ruchu I Ortopedia Polska
|January 1, 1990
PubMed
Summary

Trochanteric osteotomy in total hip arthroplasty has risks like non-union (7.1%) and wire breakage (14.2%). This procedure is recommended only for challenging surgical access or to protect soft tissues.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Trochanteric osteotomy is a surgical technique sometimes employed during total hip arthroplasty.
  • Its advantages and disadvantages require careful consideration in patient selection and surgical planning.

Purpose of the Study:

  • To evaluate the outcomes and complications associated with trochanteric osteotomy in total hip arthroplasty.
  • To determine the indications for which trochanteric osteotomy may be beneficial.

Main Methods:

  • A retrospective review of 716 total hip arthroplasties, with trochanteric osteotomy performed in 79 hips (11%).
  • Follow-up of 42 hips (36 patients) with clinical, radiographic assessment, and patient opinion.
  • Analysis of trochanteric reattachment methods, including standard and original techniques.

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Main Results:

  • Trochanteric non-union occurred in 7.1% of cases, with delayed union in 4.7%.
  • Wire loop breakage was observed in 14.2% of hips, though it did not consistently affect trochanteric union.
  • The overall complication rate necessitates careful evaluation of the procedure's utility.

Conclusions:

  • Trochanteric osteotomy is associated with specific risks, including non-union and hardware failure.
  • The authors recommend trochanteric osteotomy primarily for cases with difficult joint access or to mitigate soft tissue damage in complex anatomical situations.