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

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 compare...

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Autores principales: Wronka, Konrad Sebastian, Gerard-Wilson, Michell, Peel, Elizabeth, Rolfson, Ola, Cnudde, Peter Herman Johan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2020
Materias:
Hip
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047899/
https://www.ncbi.nlm.nih.gov/pubmed/32175097
http://dx.doi.org/10.1302/2058-5241.5.190005
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author Wronka, Konrad Sebastian
Gerard-Wilson, Michell
Peel, Elizabeth
Rolfson, Ola
Cnudde, Peter Herman Johan
author_facet Wronka, Konrad Sebastian
Gerard-Wilson, Michell
Peel, Elizabeth
Rolfson, Ola
Cnudde, Peter Herman Johan
author_sort Wronka, Konrad Sebastian
collection PubMed
description 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 post-operative 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. Cite this article: EFORT Open Rev 2020;5:104-112. DOI: 10.1302/2058-5241.5.190005
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spelling pubmed-70478992020-03-13 Extended trochanteric osteotomy: improving the access and reducing the risk in revision THA Wronka, Konrad Sebastian Gerard-Wilson, Michell Peel, Elizabeth Rolfson, Ola Cnudde, Peter Herman Johan EFORT Open Rev Hip 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 post-operative 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. Cite this article: EFORT Open Rev 2020;5:104-112. DOI: 10.1302/2058-5241.5.190005 British Editorial Society of Bone and Joint Surgery 2020-02-26 /pmc/articles/PMC7047899/ /pubmed/32175097 http://dx.doi.org/10.1302/2058-5241.5.190005 Text en © 2020 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Hip
Wronka, Konrad Sebastian
Gerard-Wilson, Michell
Peel, Elizabeth
Rolfson, Ola
Cnudde, Peter Herman Johan
Extended trochanteric osteotomy: improving the access and reducing the risk in revision THA
title Extended trochanteric osteotomy: improving the access and reducing the risk in revision THA
title_full Extended trochanteric osteotomy: improving the access and reducing the risk in revision THA
title_fullStr Extended trochanteric osteotomy: improving the access and reducing the risk in revision THA
title_full_unstemmed Extended trochanteric osteotomy: improving the access and reducing the risk in revision THA
title_short Extended trochanteric osteotomy: improving the access and reducing the risk in revision THA
title_sort extended trochanteric osteotomy: improving the access and reducing the risk in revision tha
topic Hip
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047899/
https://www.ncbi.nlm.nih.gov/pubmed/32175097
http://dx.doi.org/10.1302/2058-5241.5.190005
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