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Extended trochanteric osteotomy: improving the access and reducing the risk in revision THA
Konrad Sebastian Wronka1, Michell Gerard-Wilson1, Elizabeth Peel1
1Department Of Orthopaedics, Prince Philip Hospital, Hywel Dda University Healthboard, Llanelli, UK.
EFORT Open Reviews
|March 17, 2020
Summary
Extended trochanteric osteotomy (ETO) is a valuable surgical technique for revision hip procedures. ETO offers improved access and implant removal with a high union rate and fewer complications than unexpected fractures.
Area of Science:
- Orthopedic surgery
- Hip revision arthroplasty
- Surgical techniques
Background:
- Extended trochanteric osteotomy (ETO) is a specialized surgical approach.
- Its role in complex hip revision cases requires detailed understanding.
Purpose of the Study:
- To provide a comprehensive literature review of extended trochanteric osteotomy (ETO).
- To discuss the history, rationale, biomechanics, indications, outcomes, and complications of ETO.
- To present a preferred technique for ETO, including fixation and rehabilitation.
Main Methods:
- Comprehensive literature review of extended trochanteric osteotomy (ETO).
- Comparison of reported outcomes and complications with the authors' own practice.
- Synthesis of evidence to recommend a preferred ETO technique.
Main Results:
- ETO facilitates enhanced surgical access and implant removal.
- Reported union rates for ETO are consistently high.
- Complications associated with ETO are less frequent than those from intra-operative femoral fractures.
Conclusions:
- Extended trochanteric osteotomy (ETO) is a safe and effective adjunct for revision hip surgery.
- ETO is recommended for revision hip specialists based on current evidence and clinical experience.
