title: Anterior Longitudinal Osteotomy of the Greater Trochanter in Total Hip Arthroplasty.
abstract: The extra-articular impingement of the greater trochanter against the ileum is an underrated cause of early dislocation in total hip arthroplasty. In this preliminary study, the authors assess the effectiveness of an anterior longitudinal osteotomy of the greater trochanter for preventing dislocation. A total of 115 patients underwent a total hip arthroplasty through a posterolateral approach. All patients underwent clinical and radiological follow-up at 1, 3, and 6 months. No dislocation was reported. All patients demonstrated fast recovery of range of motion and walking. No trochanter fractures were observed. The osteotomy of the greater trochanter is an effective surgical technique that decreases anterior impingement and consequently lowers the dislocation rate in primary total hip arthroplasty. [Orthopedics. 2015; 38(8):490-493.].
authors: Michele F
authors: MF
authors: Surace
authors: Gianmarco M V
authors: GM
authors: Regazzola
authors: Ettore
authors: E
authors: Vulcano
authors: Luca
authors: L
authors: Monestier
authors: Paolo
authors: P
authors: Cherubino
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001168:Arthritis / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D004838:Epiphyses / Q000601:surgery; D005260:Female; D057925:Femoracetabular Impingement / Q000517:prevention & control; D005269:Femur / Q000601:surgery*; D005271:Femur Head Necrosis / Q000601:surgery; D006617:Hip Dislocation / Q000517:prevention & control; D006618:Hip Dislocation, Congenital / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D016059:Range of Motion, Articular; D016896:Treatment Outcome; D016138:Walking / Q000502:physiology