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

被引：22
|
作者：
Wronka, Konrad Sebastian [1 ]
Gerard-Wilson, Michell [1 ]
Peel, Elizabeth [1 ]
Rolfson, Ola [2 ]
Cnudde, Peter Herman Johan [1 ,2 ]
机构：
[1] Hywel Dda Univ, Dept Orthopaed, Prince Philip Hosp, Llanelli, Wales
[2] Sahlgrens Acad, Dept Orthopaed, Inst Clin Sci, Gothenburg, Sweden
来源：
EFORT OPEN REVIEWS | 2020年 / 5卷 / 02期
关键词：
ETO; extended trochanteric osteotomy; revision hip arthroplasty; revision hip replacement; union rate of ETO; TOTAL HIP-ARTHROPLASTY; B2/B3 PERIPROSTHETIC FRACTURES; PROXIMAL FEMORAL OSTEOTOMY; 2-STAGE REVISION; FIXATION; STEM; REPLACEMENT; NONUNION; UNION; PROJECTIONS;
D O I：
10.1302/2058-5241.5.190005
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：
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.
引用
收藏
页码：104 / 112
页数：9
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