title: The outcome of modified extended trochanteric osteotomy in revision THA for Vancouver B2/B3 periprosthetic fractures of the femur.
abstract: We hypothesised that a modified ETO in patients undergoing revision total hip arthroplasty (THA) for treatment of Vancouver B2/B3 peri-prosthetic fractures would be associated with good clinical outcomes. A retrospective review was conducted of 34 patients (mean age 73 years). At mean follow-up of 57 months, the ETO had healed in all patients. Two patients had subsidence of the femoral stem at two and three years postoperatively requiring revision, and one patient had a dislocation 3 months after surgery. The mean Harris Hip Score at the time of the final follow-up was 76.9 (range, 46-95); 23/34 patients had an excellent result, 7/34 a good result, and 4/34 a poor result. We conclude that satisfactory outcomes can be obtained using this technique.
authors.affiliation: Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: Michael
authors.initials: M
authors.lastname: Drexler
authors.affiliation: Women's College and Mt Sinai Hospital Toronto, Ontario, Canada.
authors.forename: Tim
authors.initials: T
authors.lastname: Dwyer
authors.affiliation: Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Chakravertty
authors.affiliation: Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: David
authors.initials: D
authors.lastname: Backstein
authors.affiliation: Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: Allan E
authors.initials: AE
authors.lastname: Gross
authors.affiliation: Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: Oleg
authors.initials: O
authors.lastname: Safir
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D057068:Periprosthetic Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011859:Radiography; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Vancouver B2/B3; modified extended trochanteric osteotomy; periprosthetic fractures