title: Trochanteric union in revision hip arthroplasty.
abstract: A total of 69 patients undergoing revision hip arthroplasty using a transtrochanteric approach who all had at least 1 previous transtrochanteric surgical approach. In 6 patients, it was the third time the trochanter was taken down, and in 2 patients, it was the fourth time. We believe this is the first review of trochanteric union in such a subgroup of patients. The mean age was 66 years (range, 46-82 years). Before revision, 49 of 69 patients (71%) had a united trochanter, whereas 20 of 69 (29%) had a pseudarthrosis. The overall pseudarthrosis rate decreased from 20 patients (29%) to 10 patients (14%) after revision surgery. The mean Harris hip score was 86 (range, 29-100). Repeated transtrochanteric osteotomy was not associated with any significant morbidity and did not affect the clinical outcome.
authors.affiliation: Department of Orthopaedic Surgery, Adelaide Hospital, Dublin, Republic of Ireland.
authors.forename: P
authors.initials: P
authors.lastname: Nicholson
authors.forename: D
authors.initials: D
authors.lastname: Mulcahy
authors.forename: G
authors.initials: G
authors.lastname: Fenelon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005269:Femur / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects; D012086:Reoperation; D014945:Wound Healing