Extended Trochanteric Osteotomy Followed by Cemented Impaction Allografting in Revision Hip Arthroplasty |
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| Authors: | John Charity,Eleftherios Tsiridis,David Gusmã o,Adrian Bauze,John Timperley,Graham Gie |
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| Affiliation: | ? Hip Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Barrack Road, Exeter, EX2 5DW, United Kingdom;† Department of Surgery and Cancer, Imperial College London, Hammersmith Campus, Du Cane Road, London, W12 0HS, United Kingdom;‡ University of Adelaide Department of Orthopaedics and Trauma, Consultant Orthopaedic Surgeon, Sportsmed SA, 32 Payneham Rd, Stepney, 5069, South Australia, Australia |
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| Abstract: | 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. |
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| Keywords: | extended trochanteric osteotomy femoral impaction grafting hip revision arthroplasty cement nonunion |
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