Distal transfer of the greater trochanter |
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Authors: | M F Macnicol D Makris |
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Affiliation: | Princess Rose Orthopaedic Hospital, Edinburgh, Scotland. |
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Abstract: | After congenital dislocation of the hip, Perthes' disease and some other conditions, the femoral neck may be short and the greater trochanter in a relatively proximal position. Distal transfer of the greater trochanter is an effective and relatively simple operation to correct this deformity. We have reviewed 26 patients (27 hips) at a mean follow-up of eight years. Pain relief and improvement in gait were maintained in 74%, and the poor results were largely due to progression of osteoarthritis. We describe a 'gear-stick' sign of trochanteric impingement, which is useful in the pre-operative assessment of patients. |
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