Hip resurfacing using the Trochanteric Flip Osteotomy

被引:9
作者
Killampalli, Vijay V. [1 ]
Hayes, Andrew [2 ]
Parsons, Nick [3 ]
Costa, Mathew L. [3 ]
Prakash, Udai [2 ]
机构
[1] Nevill Hall Hosp, Dept Trauma & Orthopaed Surg, Abergavenny, Wales
[2] Univ Hosp Coventry & Warwickshire NHS Trust, Dept Trauma & Orthopaed Surg, Coventry, W Midlands, England
[3] Univ Warwick, Warwick Med Sch, Dept Trauma & Orthopaed Surg, Coventry CV4 7AL, W Midlands, England
关键词
Resurfacing; Arthroplasty; Trochateric Flip Osteotomy; Surgical Approach; LASER-DOPPLER FLOWMETRY; FEMORAL-HEAD; SURGICAL DISLOCATION; BLOOD-FLOW; ARTHROPLASTY;
D O I
10.1177/112070000901900209
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
we report the early results and complications of resurfacing arthroplasty using the 'trochanteric Flip osteotomy' approach to the hip. there are no published clinical results of this approach used for resurfacing arthroplasty. one hundred consecutive patients were assessed prospectively for a minimum follow-up of 2 years (range 2 - 5 years). the oxford Hip score fell from a median of 30 pre-operatively to 5 at two years. similar improvement was found in the UCLA activity score. there were no cases of component failure or fractures. However, nine patients had minor complications related to the osteotomy. resurfacing arthroplasty of the hip may be successfully performed through a trochanteric flip osteotomy. this surgical approach may avoid some of the complications associated with avascular necrosis of the femoral head. (Hip international 2009; 19: 131-5)
引用
收藏
页码:131 / 135
页数:5
相关论文
共 12 条
[1]   The blood flow to the femoral head/neck junction during resurfacing arthroplasty - A comparison of two approaches using Laser Doppler flowmetry [J].
Amarasekera, H. W. ;
Costa, M. L. ;
Foguet, P. ;
Krikler, S. J. ;
Prakash, U. ;
Griffin, D. R. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2008, 90B (04) :442-445
[2]   Metal-on-metal resurfacing of the hip in patients under the age of 55 years with osteoarthritis [J].
Daniel, J ;
Pynsent, PB ;
McMinn, DJW .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2004, 86B (02) :177-184
[3]   Questionnaire on the perceptions of patients about total hip replacement [J].
Dawson, J ;
Fitzpatrick, R ;
Carr, A ;
Murray, D .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1996, 78B (02) :185-190
[4]   Surgical dislocation of the adult hip -: A technique with full access to the femoral head and acetabulum without the risk of avascular necrosis [J].
Ganz, R ;
Gill, TJ ;
Gautier, E ;
Ganz, K ;
Krügel, N ;
Berlemann, U .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2001, 83B (08) :1119-1124
[5]   Anatomy of the medial femoral circumflex artery and its surgical implications [J].
Gautier, E ;
Ganz, K ;
Krügel, N ;
Gill, T ;
Ganz, R .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2000, 82B (05) :679-683
[6]   Health outcome measures in the evaluation of total hip arthroplasties - A comparison between the Harris hip score and the Oxford hip score [J].
Kalairajah, Y ;
Azurza, K ;
Hulme, C ;
Molloy, S ;
Drabu, KJ .
JOURNAL OF ARTHROPLASTY, 2005, 20 (08) :1037-1041
[7]   The effect of surgical approach on blood flow to the femoral head during resurfacing [J].
Khan, A. ;
Yates, P. ;
Lovering, A. ;
Bannister, G. C. ;
Spencer, R. F. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2007, 89B (01) :21-25
[8]   Osteonecrosis in retrieved femoral heads after failed resurfacing arthroplasty of the hip [J].
Little, CP ;
Ruiz, AL ;
Harding, IJ ;
McLardy-Smith, P ;
Gundle, R ;
Murray, DW ;
Athanasou, NA .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2005, 87B (03) :320-323
[9]   Perfusion of the femoral head during surgical dislocation of the hip -: Monitoring by laser doppler flowmetry [J].
Nötzli, HP ;
Siebenrock, KA ;
Hempfing, A ;
Ramseier, LE ;
Ganz, R .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2002, 84B (02) :300-304
[10]   Complications associated with hip resurfacing arthroplasty [J].
Shimmin, AJ ;
Anat, D ;
Bare, J ;
Back, DL .
ORTHOPEDIC CLINICS OF NORTH AMERICA, 2005, 36 (02) :187-+