Extended trochanteric osteotomy: improving the access and reducing the risk in revision THA

EFORT Open Reviews

article

Konrad Sebastian Wronka¹  Michell Gerard-Wilson²  Elizabeth Peel¹  Ola Rolfson²  Peter Herman Johan Cnudde¹ 

[1]Department Of Orthopaedics, Prince Philip Hospital, Hywel Dda University Healthboard

[2]Department Of Orthopaedics, Institute of Clinical Sciences

关键词: ETO;    extended trochanteric osteotomy;    revision hip arthroplasty;    revision hip replacement;    union rate of ETO;   

DOI  :  10.1302/2058-5241.5.190005

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Total hip arthroplasty (THA) is one of the most successful surgical procedures and has been named the ‘operation of the century’.1 Despite the success story of THA, there are some patients who will encounter further surgery because of failure of the implant or the surrounding bone. It is anticipated that the demand for revision surgery will increase2–5 and a change in the pattern in indications and timing of revisions has been described.6 Revision surgery is considered a more technically challenging, labour intensive and time-consuming procedure with overall poorer outcomes.7,8 Several techniques, reducing the surgical insult to the patient, have been described: retention of well-fixed components and modular head exchanges, liner exchanges or cementing liners in well-fixed shells, cement-in-cement revision techniques. However, sometimes the surgical team is left with no other choice than to remove well-fixed femoral implants or the complete cement mantle, or there may be a need to improve the exposure or a correction of femoral deformities. In such cases an extended trochanteric osteotomy (ETO) could facilitate the revision surgery.

【 授权许可】

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