Bastian, Johannes D.; Wolf, AT; Wyss, TF; Nötzli, HP (2009). Stepped osteotomy of the trochanter for stable, anatomic refixation. Clinical orthopaedics and related research, 467(3), pp. 732-8. Heidelberg: Springer 10.1007/s11999-008-0649-x
|
Text
Stepped_Osteotomy_of_the_Trochanter_for_Stable_.18.pdf - Published Version Available under License Publisher holds Copyright. Download (457kB) | Preview |
Refixation of a trochanteric osteotomy carries a high complication rate. To enhance stability and facilitate anatomic reduction of the trochanteric fragment, we have introduced a stepped osteotomy. Between April 2006 and June 2007, we performed surgical hip dislocations using the modified trochanteric osteotomy combined with a relatively aggressive rehabilitation program. Full weightbearing was allowed at a mean of 42 days (range, 33-54 days). The minimum followup was 8 months (median, 13 months; range, 8-24 months). Postoperative radiographs were assessed prospectively for consolidation or the appearance of malreduction/nonunion/malunion of the osteotomy and heterotopic ossification. In 110 of 113 hips, the trochanteric osteotomy healed in the anatomic position. Two patients had a trochanteric delayed union with loss of anatomic position, and one additional patient underwent revision surgery for a pseudarthrosis and cranial migration of the trochanteric fragment. All three complications related to healing occurred in the first 60 patients when the step height was 3 to 4 mm. After increasing the step heights to 6 mm, we observed no healing complications. Despite more aggressive postoperative mobilization, the incidence of malunion or nonunion related to the new stepped osteotomy is low and approaches zero for steps of 6 mm. It is now our technique of choice.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery |
UniBE Contributor: |
Bastian, Johannes Dominik |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0009-921X |
ISBN: |
19067094 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Factscience Import |
Date Deposited: |
04 Oct 2013 15:09 |
Last Modified: |
05 Dec 2022 14:21 |
Publisher DOI: |
10.1007/s11999-008-0649-x |
PubMed ID: |
19067094 |
Web of Science ID: |
000263070900018 |
BORIS DOI: |
10.48350/30274 |
URI: |
https://boris.unibe.ch/id/eprint/30274 (FactScience: 191674) |
Actions (login required)
 |
Edit item |