Distal transfer of the greater trochanter.
After congenital dislocation of the hip, Perthes' disease and some other conditions, the femoral neck may be short and the greater trochanter in a relatively proximal position. Distal transfer of the greater trochanter is an effective and relatively simple operation to correct this deformity. We have reviewed 26 patients (27 hips) at a mean follow-up of eight years. Pain relief and improvement in gait were maintained in 74%, and the poor results were largely due to progression of osteoarthritis. We describe a 'gear-stick' sign of trochanteric impingement, which is useful in the pre-operative assessment of patients.
Macnicol
M F
MF
Princess Rose Orthopaedic Hospital, Edinburgh, Scotland.
Makris
D
D
D000293:Adolescent; D000328:Adult; D001170:Arthritis, Infectious / Q000601:surgery; D001696:Biomechanical Phenomena; D002648:Child; D005260:Female; D005271:Femur Head Necrosis / Q000601:surgery; D005500:Follow-Up Studies; D005684:Gait / Q000502:physiology; D006618:Hip Dislocation, Congenital / Q000601:surgery; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000601:surgery; D008297:Male; D009068:Movement / Q000502:physiology; D010003:Osteoarthritis / Q000209:etiology; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D010146:Pain / Q000209:etiology; D011859:Radiography