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[Application of greater trochanteric slide osteotomy in total hip arthroplasty for stiff hip]

Wen-Lin Hu1, Zhan-Feng Zhang1, Li-Hua Shi2

  • 1Department of Orthopaedics, the First People's Hospital of Huzhou, Huzhou 313000, Zhejiang, China.

Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology
|February 19, 2018
PubMed

Insights

Greater trochanteric slide osteotomy (GTSO) is effective for total hip arthroplasty (THA) in stiff hips. This technique showed good healing and improved function with minimal complications.

Area of Science:

  • Orthopedic Surgery
  • Arthroplasty
  • Hip Reconstruction

Background:

  • Stiff hip presents a surgical challenge in total hip arthroplasty (THA).
  • Greater trochanteric slide osteotomy (GTSO) is a surgical approach to improve exposure during THA.

Purpose of the Study:

  • To evaluate the efficacy of GTSO in THA for stiff hips.
  • To assess potential complications associated with the GTSO technique.

Main Methods:

  • A retrospective study of 12 patients (9 males, 3 females) aged 37-62 undergoing THA with GTSO.
  • Clinical outcomes assessed using the Harris evaluation system.
  • Radiological evaluation included osteotomy healing, prosthesis stability, and heterotopic ossification.

Main Results:

  • Mean follow-up was 17.3 months.
  • Significant improvement in mean Harris score from 43.96 preoperatively to 88.00 postoperatively (P=0.00).
  • All osteotomies healed well; no prosthesis loosening or heterotopic ossification observed. One case of infection and one of greater trochanter pain occurred.

Conclusions:

  • GTSO is an effective exposure technique for THA in stiff hips.
  • The study found no significant complications directly related to the osteotomy itself.
Abstract

Keywords:
Arthroplasty, replacement, hipHip jointOsteotomy

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