Extended Trochanteric Osteotomy Followed by Cemented Impaction Allografting in Revision Hip Arthroplasty

被引：24

作者：

Charity, John ^{[1
]}

Tsiridis, Eleftherios ^{[2
]}

Gusmao, David ^{[1
]}

Bauze, Adrian ^{[3
]}

Timperley, John ^{[1
]}

Gie, Graham ^{[1
]}

机构：

[1] Royal Devon & Exeter Hosp, Princess Elizabeth Orthopaed Ctr, Hip Unit, Exeter EX2 5DW, Devon, England

[2] Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W12 0HS, England

[3] Univ Adelaide, Dept Orthopaed & Trauma, Sportsmed SA, Stepney, SA 5069, Australia

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 01期

关键词：

extended trochanteric osteotomy; femoral impaction grafting; hip revision arthroplasty; cement; nonunion; PROXIMAL FEMORAL OSTEOTOMY; REPLACEMENT;

D O I：

10.1016/j.arth.2012.07.002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The aim of this study is to present the medium- to long-term results of all cases of femoral impaction allografting revision at our institution that required an extended trochanteric osteotomy (ETO) at the time of surgery. Eighteen patients with a mean age of 60 years were evaluated. Indication for revision was aseptic loosening in all cases. The mean follow-up was 123 months (51-170). Charnley-D'Aubigne-Postel scores, stem length, ETO length, ETO healing, and complications were recorded. No patient was lost to follow-up. Signs of clinical healing were noted within the first 6 postoperative months. The difference between the preoperative and postoperative clinical scores was statistically significant. No nonunion of the ETO was observed in any case. These results give support to the combined use of these techniques.

引用

页码：154 / 160

页数：7

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