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[The trochanteric flip osteotomy.].

A G Schneeberger1, S B Murphy, R Ganz

  • 1Orthopädische Universitätsklinik Bern, Bern, Switzerland.

Operative Orthopadie Und Traumatologie
|March 1, 1997
PubMed
Summary
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This study demonstrates that osteotomy of the greater trochanter provides excellent access for hip revision surgery, significantly reducing complications and improving patient outcomes. The technique shows a high rate of bony consolidation and symptom relief.

Area of Science:

  • Orthopedic Surgery
  • Hip Arthroplasty
  • Surgical Techniques

Context:

  • Hip revision surgeries present challenges in accessing the joint capsule.
  • Traditional approaches may lead to complications like non-union and increased operative risk.
  • Osteotomy offers a potential solution for improved surgical access and reduced complications.

Purpose:

  • To evaluate the efficacy and safety of a posterior osteotomy of the greater trochanter in hip revision surgery.
  • To assess the impact of this technique on complication rates and bony union.
  • To determine the clinical and radiological outcomes following this surgical approach.

Summary:

  • A posterior osteotomy of the greater trochanter was performed on 41 patients undergoing hip revision surgery.

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  • The technique involves creating a bony wafer for refixation, minimizing tension on the abductor mechanism.
  • Postoperative follow-up showed a high consolidation rate (38/38 osteotomies) and significant symptom relief in most patients.

    • Impact:

    • This osteotomy technique facilitates easier access to the hip joint capsule, potentially reducing surgical risks.
    • The method demonstrated a high success rate in achieving bony union and favorable clinical outcomes.
    • It offers a valuable alternative for complex hip procedures, improving patient recovery and reducing revision surgery complications.