The Outcome of Modified Extended Trochanteric Osteotomy in Revision THA for Vancouver B2/B3 Periprosthetic Fractures of the Femur

被引：30

作者：

Drexler, Michael ^{[1
]}

Dwyer, Tim ^{[1
,2
]}

Chakravertty, Rajesh ^{[1
]}

Backstein, David ^{[1
]}

Gross, Allan E. ^{[1
]}

Safir, Oleg ^{[1
]}

机构：

[1] Mt Sinai Hosp, Toronto, ON M5G 1X5, Canada

[2] Womens Coll, Toronto, ON, Canada

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 08期

关键词：

modified extended trochanteric osteotomy; Vancouver B2/B3; periprosthetic fractures; TOTAL HIP-ARTHROPLASTY; FEMORAL FRACTURES; REPLACEMENT; RELIABILITY; VALIDITY; CLASSIFICATION; COMPONENTS; FIXATION; REGISTER;

D O I：

10.1016/j.arth.2014.03.020

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 hypothesised that a modified ETO in patients undergoing revision total hip arthroplasty (THA) for treatment of Vancouver B2/B3 peri-prosthetic fractures would be associated with good clinical outcomes. A retrospective review was conducted of 34 patients (mean age 73 years). At mean follow-up of 57 months, the ETO had healed in all patients. Two patients had subsidence of the femoral stem at two and three years postoperatively requiring revision, and one patient had a dislocation 3 months after surgery. The mean Harris Hip Score at the time of the final follow-up was 76.9 (range, 46-95); 23/34 patients had an excellent result, 7/34 a good result, and 4/34 a poor result. We conclude that satisfactory outcomes can be obtained using this technique. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：1598 / 1604

页数：7

共 37 条

[1]

Beals RK, 1996, CLIN ORTHOP RELAT R, P238

[2] THIGH PAIN AFTER CEMENTLESS HIP-ARTHROPLASTY - ANNOYANCE OR ILL OMEN [J].