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Extended trochanteric osteotomy: current concepts review.
Senthil Nathan Sambandam1, Gopinath Duraisamy1, Jayadev Chandrasekharan1
1Department of Orthopaedics, K.G. Hospital and Postgraduate Medical Institute, Arts College Road, Coimbatore, Tamil Nadu, 641018, India.
Summary
Extended trochanteric osteotomy (ETO) is crucial for revision hip arthroplasty, enabling femoral access without bone loss. Understanding ETO
Area of Science:
- Orthopedic Surgery
- Arthroplasty
Background:
- Revision total hip arthroplasty is a complex procedure with increasing prevalence.
- Extended trochanteric osteotomy (ETO) significantly improved surgical access for revision hip arthroplasty.
- Despite routine use, detailed knowledge of ETO's technical aspects remains limited among surgeons.
Purpose of the Study:
- To comprehensively review the indications, surgical techniques, fixation methods, implant choices, and complications of ETO.
- To consolidate existing literature on ETO to enhance surgeon understanding and application.
Main Methods:
- Literature search conducted on MEDLINE (PubMed) and Google Scholar.
- Utilized relevant keywords to identify studies detailing ETO application in various clinical scenarios.
- Focused on preoperative, intraoperative, and postoperative aspects of ETO utilization.
Main Results:
- Extended trochanteric osteotomy (ETO) is a versatile technique applicable in diverse clinical situations for revision hip arthroplasty.
- The posterior approach for ETO remains a widely adopted and effective method globally.
- Various authors have reported on the limitations and potential complications associated with ETO.
Conclusions:
- ETO is an indispensable tool for revision surgeons, offering solutions for complex intraoperative challenges.
- Thorough knowledge of ETO's biomechanics, indications, implant selection, fixation, and complications is vital for optimal outcomes.
- The posterior approach to ETO is a reliable and frequently used technique worldwide.
