کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4062785 | 1604038 | 2011 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Oblique Posterior Trochanteric Osteotomy in Revision Total Hip Arthroplasty Oblique Posterior Trochanteric Osteotomy in Revision Total Hip Arthroplasty](/preview/png/4062785.png)
Modular polyethylene failure and attendant revision play an increasing role in hip arthroplasty. In spite of well-fixed, well-aligned components, bearing exchange has a high risk of chronic instability, which may be attributed to the resection of stabilizing soft tissue structures to gain exposure. This creates a difficult situation for the surgeon and an inexplicable one for the patient with a previously well-functioning implant. The senior author modified a technique previously described by Shaw that included an osteotomy of the posterior one third of the greater trochanter and preservation of posterior soft tissues. Thirty-five patients underwent 47 revision procedures utilizing this approach, including 16 modular component and 31 more extensive procedures. There were no dislocations or significant complications and no loss of reduction or nonunion. The approach offers excellent exposure while preserving stabilizing soft tissues.
Journal: The Journal of Arthroplasty - Volume 26, Issue 3, April 2011, Pages 472–475