title: Nonunion of extended trochanteric osteotomies in impaction grafting femoral revisions.
abstract: Extended trochanteric osteotomies have been recommended to facilitate femoral component removal, femoral cement removal, and acetabular exposure in cases of difficult revision hip arthroplasty. Complications due to the osteotomy have been rare and no nonunions have been reported when this osteotomy has been used in conjunction with extensively porous-coated implants. It has been suggested that the osteotomy should also work well with impaction grafting revisions. This is a report of two cases of nonunion of extended trochanteric osteotomies in which the impaction grafting technique was used.
authors.affiliation: Department of Orthopaedic Surgery, Indiana University, Indianapolis 46202, USA.
authors.forename: E J
authors.initials: EJ
authors.lastname: Hellman
authors.forename: W N
authors.initials: WN
authors.lastname: Capello
authors.forename: J R
authors.initials: JR
authors.lastname: Feinberg
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D001843:Bone Cements; D005269:Femur / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012086:Reoperation / Q000379:methods; D014945:Wound Healing
chemical_list: D001843:Bone Cements