We conducted a retrospective review of 192 consecutive revision hip arthroplasties with an extended proximal femoral osteotomy performed from 1992 through January 1998. Of these osteotomies, 166 had a minimum of 2 years of clinical and radiographic follow-up (range, 2–7.5 years; average, 3 years, 9 months). All patients had a femoral reconstruction with an extended trochanteric osteotomy and an extensively porous-coated, cementless femoral component. The average age at revision was 65.8 years (range, 26–84 years). Of the 166 osteotomies, 2 nonunions (1.2%) and 1 malunion (0.6%) were identified. 17 hips (10.2%) required reoperation. Pain and walking scores improved from a mean of 6.5 preoperatively to 9.8 postoperatively. The extended trochanteric osteotomy heals predictably and enhances the surgeons' ability to address many difficult issues encountered in revision arthroplasty.
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We conducted a retrospective review of 192 consecutive revision hip arthroplasties with an extended proximal femoral osteotomy performed from 1992 through January 1998. Of these osteotomies, 166 had a minimum of 2 years of clinical and radiographic follow-up (range, 2–7.5 years; average, 3 years, 9 months). All patients had a femoral reconstruction with an extended trochanteric osteotomy and an extensively porous-coated, cementless femoral component. The average age at revision was 65.8 years (range, 26–84 years). Of the 166 osteotomies, 2 nonunions (1.2%) and 1 malunion (0.6%) were identified. 17 hips (10.2%) required reoperation. Pain and walking scores improved from a mean of 6.5 preoperatively to 9.8 postoperatively. The extended trochanteric osteotomy heals predictably and enhances the surgeons' ability to address many difficult issues encountered in revision arthroplasty.
Copyright remains with the authors and publisher.