Trochanteric osteotomy in total hip arthroplasty: comparison of 2 techniques.
A study of 100 cemented total hip arthroplasties was performed in 2 different hospitals. Group 1 hips (50 hips in 42 patients; mean follow-up period, 5.4 years) had been operated on with the modified Liverpool technique involving an anterior osteotomy of the greater trochanter. These were compared with group 2 (50 hips in 41 patients; mean follow-up period, 6.2 years), in whom a Charnley transtrochanteric osteotomy approach was used. The 2 groups showed no significant difference with respect to hip abductor muscle power (MRC grading), trochanteric union, Trendelenberg gait, heterotopic ossification (Brooker grading), and patient satisfaction assessed with the help of a questionnaire. Group 2 had a larger number of trochanteric problems, whereas group 1 had a greater increase in mobility scores after surgery.
Menon
P C
PC
Queen Alexandra Hospital, Portsmouth, United Kingdom.
Griffiths
W E
WE
Hook
W E
WE
Higgins
B
B
D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005684:Gait; D006801:Humans; D008875:Middle Aged; D009017:Morbidity; D010027:Osteotomy / Q000379:methods; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000503:physiopathology; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome