Extended trochanteric osteotomy followed by cemented impaction allografting in revision hip arthroplasty.
Author
Charity, John
Tsiridis, E
Gusmão, David
Bauze, A
Timperley, John
Gie, Graham
Date
2013-01Journal
The Journal of arthroplastyType
Journal ArticlePublisher
ElsevierDOI
10.1016/j.arth.2012.07.002Rights
Archived with thanks to The Journal of arthroplastyMetadata
Show full item recordAbstract
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'Aubigné-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.