Revision of total hip arthroplasty: Clinical outcome of extended trochanteric osteotomy and intraoperative femoral fracture

2008 ◽  
Vol 16 (4) ◽  
pp. 293-300 ◽  
Author(s):  
Matthias Lerch ◽  
Gabriela von Lewinski ◽  
Henning Windhagen ◽  
Fritz Thorey
Keyword(s):  
Total Hip Arthroplasty ◽  
Clinical Outcome ◽  
Hip Arthroplasty ◽  
Femoral Fracture ◽  
Trochanteric Osteotomy ◽  
Total Hip ◽  
Extended Trochanteric Osteotomy

Extended Trochanteric Osteotomy in Revision Total Hip Arthroplasty

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Matthew P. Abdel ◽  
Cody C. Wyles ◽  
Anthony Viste ◽  
Kevin I. Perry ◽  
Robert T. Trousdale ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Revision Total Hip Arthroplasty ◽  
Trochanteric Osteotomy ◽  
Total Hip ◽  
Extended Trochanteric Osteotomy

scholarly journals Extended Trochanteric Osteotomy with Intermediate Resection Arthroplasty Is Safe for Use in Two-Stage Revision Total Hip Arthroplasty for Infection

2021 ◽  
Vol 11 (1) ◽  
pp. 36
Author(s):  
Sebastian Hardt ◽  
Vincent Justus Leopold ◽  
Thilo Khakzad ◽  
Matthias Pumberger ◽  
Carsten Perka ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Stem ◽  
Femoral Fractures ◽  
Revision Total Hip Arthroplasty ◽  
Trochanteric Osteotomy ◽  
Two Stage ◽  
Total Hip ◽  
Extended Trochanteric Osteotomy ◽  
Revision Tha

Background: This study sought to compare the results of two-stage revision total hip arthroplasty (THA) for periprosthetic infection (PJI) in patients with and without the use of an extended trochanteric osteotomy (ETO) for removal of a well-fixed femoral stem or cement. Methods: Thirty-two patients who had undergone an ETO as part of a two-stage revision without spacer placement were matched 1:2 with a cohort of sixty-four patients of the same sex and age who had stem removal without any osteotomy. Clinical outcomes including interim revision, reinfection and aseptic failure rates were evaluated. Modified Harris hip scores (mHHS) were calculated. Minimum follow-up was two years. Results: Patients undergoing ETO had a significantly lower rate of interim re-debridement compared to non-ETO patients (0% vs. 14.1%, p = 0.026). Reinfection following reimplantation was similar in both groups (12.5% in ETO patients vs. 9.4% in non-ETO patients, p = 0.365). Revision for aseptic reason was necessary in 12.5% in the ETO group and 14.1% in the non-ETO group (p = 0.833). Periprosthetic femoral fractures were seen in three patients (3.1%), of which all occurred in non-ETO patients. Dislocation was the most common complication, which was equally distributed in both groups (12.5%). The mean mHHS was 37.7 in the ETO group and 37.3 in the non-ETO group, and these scores improved significantly in both groups following reimplantation (p < 0.01). Conclusion: ETO without the use of spacer is a safe and effective method to manage patients with well-fixed femoral stems and for thorough cement removal in two-stage revision THA for PJI. While it might reduce the rate of repeated debridement in the interim period, the use of ETO appears to lead to similar reinfection rates following reimplantation.

EXTENDED TROCHANTERIC OSTEOTOMY IN COMPLEX PRIMARY TOTAL HIP ARTHROPLASTY

2003 ◽  
Vol 85 (12) ◽  
pp. 2385-2390 ◽  
Author(s):  
CRAIG J. DELLA VALLE ◽  
RICHARD A. BERGER ◽  
AARON G. ROSENBERG ◽  
JOSHUA J. JACOBS ◽  
MITCHELL B. SHEINKOP ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Trochanteric Osteotomy ◽  
Total Hip ◽  
Extended Trochanteric Osteotomy ◽  
Primary Total Hip Arthroplasty

Outcomes and Risk Factors of Extended Trochanteric Osteotomy in Aseptic Revision Total Hip Arthroplasty: A Systematic Review

2020 ◽  
Vol 35 (11) ◽  
pp. 3410-3416
Author(s):  
Michael-Alexander Malahias ◽  
Ioannis Gkiatas ◽  
Nicolas A. Selemon ◽  
Roberto De Filippis ◽  
Alex Gu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Revision Total Hip Arthroplasty ◽  
Trochanteric Osteotomy ◽  
Total Hip ◽  
Extended Trochanteric Osteotomy ◽  
Aseptic Revision
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