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Trochanteric osteotomy in primary and revision total hip arthroplasty: risk factors for non-union

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background

Trochanteric osteotomies (TO) facilitate exposure and “true hip reconstruction” in complex primary and revision total hip arthroplasty (THA). However, non-union represents a clinically relevant complication. The purpose of the present study was to identify risk factors for trochanteric non-union.

Methods

All cases of THA approached by TO during the past 10 years were analyzed with respect to potential risk factors for non-union.

Results

In 298 cases complete data were available for analysis. Trochanteric union occurred in 80.5%, fibrous union in 5.4% and non-union 14.1%. Risk factor analysis revealed a four times higher risk for non-union in anterior trochanteric slide osteotomies compared to extended trochanteric osteotomies and a three times higher risk in cemented versus non-cemented stems. Multiple logistic regression analysis revealed patient’s age and use of cement to be independent risk factors for non-union.

Conclusions

Femoral cementation and increasing age negatively influence the union of trochanteric osteotomies.

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Authors and Affiliations

  1. Department of Orthopaedics, University of Zurich, Balgrist Hospital, Forchstrasse 340, CH 8008, Zurich, Switzerland

    Karl Wieser, Patrick Zingg & Claudio Dora

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  1. Karl Wieser
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  2. Patrick Zingg
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  3. Claudio Dora
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Correspondence to Karl Wieser.

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Wieser, K., Zingg, P. & Dora, C. Trochanteric osteotomy in primary and revision total hip arthroplasty: risk factors for non-union. Arch Orthop Trauma Surg 132, 711–717 (2012). https://doi.org/10.1007/s00402-011-1457-4

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  • DOI: https://doi.org/10.1007/s00402-011-1457-4

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