Lengthening osteotomy at the intertrochanteric level with simultaneous correction of angular deformities.
Fixed multiplane deformities around the hip representing a combination of rotational, angular, and leg-length discrepancies are disabling for the patient and pose a challenge for the orthopaedic surgeon. We describe a joint-preserving, one-stage procedure to address these complex problems using an intertrochanteric osteotomy with a step-cut to allow for corrective lengthening, angulation, and rotation. We present our results in nine patients. The aim of this paper is to provide the orthopaedic surgeon with a detailed approach to treating these deformities with reproducible results.
Marti
R K
RK
Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands.
ten Holder
E J
EJ
Kloen
P
P
D000293:Adolescent; D000328:Adult; D001852:Bone Lengthening / Q000379:methods*; D005260:Female; D006621:Hip Joint; D006801:Humans; D007870:Leg Length Inequality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*