Self-compressive osteotomy of the greater trochanter.
We have designed a dihedral osteotomy of the greater trochanter which is V-shaped with the apex infero-medially. A single screw is used for fixation. The osteotomy was used in 24 hips (23 patients), as part of a transtrochanteric approach for acetabular reconstruction, carried out for dysplasia or in complicated acetabular fractures. There were no cases of nonunion or painful bursitis at an average follow up of 20 months. The method provides a stable reduction and bony union because of the self-compressive effect of the abductor muscles.
Naito
M
M
Department of Orthopaedic Surgery, Fukuoka University School of Medicine, Japan.
Ogata
K
K
D000077:Acetabulum / Q000293:injuries*; D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D019245:Compressive Strength; D005260:Female; D005269:Femur / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D016896:Treatment Outcome