Abstract
The aim of this prospective study was to assess the safety and efficacy of the greater trochanter slide osteotomy approach for resurfacing hip arthroplasty. Fifty consecutive hips (47 patients) with degenerative joint disease were enrolled in the study. Serial clinical and radiological assessments were performed after the index operation. At 1-year follow-up, the clinical outcome and patient satisfaction were rated excellent or good in all hips. The radiological assessment showed signs of satisfactory implant alignment. Periprosthetic fractures and non-unions of the greater trochanter were not observed. The greater trochanter slide osteotomy approach for resurfacing hip arthroplasty is a safe procedure and provides optimal exposure of the acetabulum and proximal femur, maintaining the soft-tissue integrity of the hip joint. Blood supply of the proximal femur is not violated using this approach.
Résumé
Le but de cette étude est de mettre en évidence l’efficacité et la sécurité donnée par l’ostéotomie du grand trochanter lors de l’abord chirurgical de la hanche pour prothèse totale avec resurfaçage. 50 hanches consécutives chez 47 patients présentant des lésions dégénératives ont été inclues dans cette étude avec analyse clinique et radiologique. A un an post-opératoire, le devenir clinique des patients et la satisfaction sont excellentes/bonnes dans toutes les hanches. L’analyse radiologique montre que les implants sont bien alignés. Nous n’avons pas observé de fracture ni de pseudarthrose du grand trochanter, l’abord par trochantérotomie, lors du resurfaçage de la hanche est une technique sûre qui permet une bonne exposition du cotyle et aussi une bonne conservation des tissus mous au niveau de la hanche. Cette technique n’entraîne pas de perte sanguine plus importante.
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Pitto, R.P. The trochanter slide osteotomy approach for resurfacing hip arthroplasty. International Orthopaedics (SICOT) 33, 387–390 (2009). https://doi.org/10.1007/s00264-008-0538-7
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DOI: https://doi.org/10.1007/s00264-008-0538-7