Τίτλος:
Trochanteric osteotomy in total hip replacement for congenital hip
disease
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
We studied the effect of trochanteric osteotomy in 192 total hip
replacements in 140 patients with congenital hip disease. There was bony
union in 158 hips (82%), fibrous union in 29 (15%) and nonunion in
five (3%). The rate of union had a statistically significant
relationship with the position of reattachment of the trochanter, which
depended greatly on the pre-operative diagnosis. The pre-operative
Trendelenburg gait substantially improved in all three disease types
(dysplasia, low and high dislocation) and all four categories of
reattachment position. A persistent Trendelenburg gait post-operatively
was noticed mostly in patients with defective union (fibrous or
nonunion). Acetabular and femoral loosening had a statistically
significant relationship with defective union and the position of
reattachment of the trochanter.
These results suggest that the complications of trochanteric osteotomy
in total hip replacement for patients with congenital hip disease are
less important than the benefits of this surgical approach.
Συγγραφείς:
Hartofilakidis, G.
Babis, G. C.
Georgiades, G.
Kourlaba, G.
Περιοδικό:
JOURNAL OF BONE AND JOINT SURGERY. BRITISH VOLUME
Εκδότης:
BRITISH EDITORIAL SOC BONE & JOINT SURGERY
DOI:
10.1302/0301-620X.93B5.24780
