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

Artikel i vetenskaplig tidskrift
Författare K. S. Wronka
M. Gerard-Wilson
E. Peel
Ola Rolfson
Peter Cnudde
Publicerad i EFORT Open Reviews
Volym 5
Nummer/häfte 2
Sidor 104-112
ISSN 23967544 (ISSN)
Publiceringsår 2020
Publicerad vid Institutionen för kliniska vetenskaper, Avdelningen för ortopedi
Sidor 104-112
Språk en
Länkar dx.doi.org/10.1302/2058-5241.5.1900...
Ämnesord ETO, Extended trochanteric osteotomy, Revision hip arthroplasty, Revision hip replacement, Union rate of ETO, bone cement, acetabulum, Article, biomechanics, bone growth, bone remodeling, device removal, fracture healing, health care access, human, osteotomy, patient safety, periprosthetic fracture, postoperative complication, proximal femur varus deformity, revision arthroplasty, risk reduction, surgical technique, tension, total hip replacement, treatment indication, varus deformity
Ämneskategorier Ortopedi

Sammanfattning

This review article presents a comprehensive literature review regarding extended trochanteric osteotomy (ETO). The history, rationale, biomechanical considerations as well as indications are discussed. The outcomes and complications as reported in the literature are presented, discussed and compared with our own practice. Based on the available evidence, we present our preferred technique for performing ETO, its fixation, as well as postoperative rehabilitation. The ETO aids implant removal and enhanced access. Reported union rate of ETO is high. The complications related to ETO are much less frequent than in cases when accidental intra-operative femoral fracture occurred that required fixation. Based on the literature and our own experience we recommend ETO as a useful adjunct in the arsenal of the revision hip specialist. © 2020 The author(s).

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