Total hip replacement with or without trochanteric osteotomy.
In a consecutive series of primary total hip replacements (THR) 54 patients were operated upon with and 78 patients without trochanteric osteotomy. Follow-up at least 2.5 years postoperatively failed to disclose any differences between the two groups in bleeding during operation, the incidence of early complications or the infection rate. A longer operation time was noted for the osteotomized group. Mechanical failure was more frequent in the non-osteotomized group. The clinical end result was similar in both groups. In complicated cases or when accessibility to the operation site is poor a trochanteric osteotomy is recommended.
D005269:Femur / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D010003:Osteoarthritis / Q000601:surgery; D010027:Osteotomy; D011183:Postoperative Complications; D013997:Time Factors