The patulous proximal femur.
Patients with patulous proximal femurs who have hip revision surgery can be treated with reduction osteotomies or with large ingrowth sleeves used with proximally modular stems. Three hundred nine patients had hip revision with >5-years' follow-up (mean 8.6 years). Reduction osteotomies were performed in six patients, all of whom have done well. The overall rerevision rate of 1.7% suggests that either of these methods produces reasonable results in patients with expanded proximal femurs.
Cameron
Hugh U
HU
Orthopedics and Arthritic Institute of Sunnybrook and Women's College Health Sciences Centre and The University of Toronto, Toronto, Canada.
D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D012086:Reoperation; D013997:Time Factors; D017211:Treatment Failure