Extended femoral osteotomy and proximally coated prosthesis for hip revision

Extended trochanteric osteotomy facilitates femoral reconstruction in revision total hip arthroplasty. This study examined the outcome of extended trochanteric osteotomy combined with a proximally porous-coated calcar replacement prosthesis during revision total hip arthroplasty. Forty-five cases were reviewed with an osteotomy union rate of 98%. No femoral component was loose radiographically, and none were revised for loosening. These findings indicate excellent short-term clinical and radiographic results can be achieved with an extended trochanteric osteotomy and proximally porous-coated calcar replacement prosthesis.