Total Hip Arthroplasty After Failed Intertrochanteric Valgus Osteotomy for Advanced Osteoarthrosis

Iwase, Toshiki; Hasegawa, Yukiharu; Iwasada, Seiki; Kitamura, Shinji; Iwata, Hiroji

doi:10.1097/00003086-199907000-00023

Cited by 34 publications

(28 citation statements)

References 14 publications

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“…However, high failure rates for this procedure have been reported in the mid-and long-term, necessitating subsequent total hip arthroplasty (THA) in over 50% of patients in the second decade [2][3][4]. Conversion total hip arthroplasty (THA) in this subgroup of patients can be difficult, and inconsistent results have been reported with regard to complication rates, clinical outcomes and implant survival [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Long-term results of cementless femoral reconstruction following intertrochanteric osteotomy

Merle

Streit

Innmann

et al. 2012

International Orthopaedics (SICOT)

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Purpose The objective of this retrospective cohort study was to assess the long-term outcome of cementless femoral reconstruction in patients with previous intertrochanteric osteotomy (ITO). Methods We evaluated the clinical and radiographic results of a consecutive series of 45 patients (48 hips, mean age 50 years) who had undergone conversion hip replacement following ITO with a cementless, grit-blasted, doubletapered femoral component. Clinical outcome was determined using the Harris hip score. Stem survival for different end points was assessed using Kaplan-Meier survivorship analysis. Results At a mean follow-up of 20 (range, 16-24) years, 11 patients (12 hips) had died, and no patient was lost to followup. Six patients (six hips) underwent femoral revision, two for infection, three for aseptic loosening and one for periprosthetic fracture. Mean Harris hip score at final follow-up was 78 points (range, 23-100 points). Stem survival for all revisions was 89% (95%CI, 75-95) at 20 years, and survival for aseptic loosening was 93% (95%CI,(80)(81)(82)(83)(84)(85)(86)(87)(88)(89)(90)(91)(92)(93)(94)(95)(96)(97)(98). Conclusions The long-term results with this type of cementless femoral component in patients with previous intertrochanteric osteotomy are encouraging and compare well to those achieved in patients with normal femoral anatomy.

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Section: Introductionmentioning

confidence: 99%

Long-term results of cementless femoral reconstruction following intertrochanteric osteotomy

Merle

Streit

Innmann

et al. 2012

International Orthopaedics (SICOT)

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“…Cemented or cementless femoral reconstruction demonstrated reliable and durable results in conversion of femoral osteotomy to THA, with existing hardware or femoral deformity 16 17. In cases where removal of the osteosynthetic device is expected to lead to severe trauma of the femur, it is no disadvantage to perform the THA leaving the internal fixation material in place 4…”

Section: Discussionmentioning

confidence: 99%

Cemented total hip arthroplasty with retention of some existing hardware

et al. 2014

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We report a case of a 63-year-old man who presented an end stage hip osteoarthritis 42 years after a proximal femoral osteotomy performed for the treatment of an intracapsular femoral neck fracture. A cemented total hip arthroplasty was implanted using a standard posterior approach. The osteotomy hardware was totally covered with a new cortical bone formation. A layer of bone tissue was removed, the screw heads were broken and the nail plate was also removed. The screw threaded portions were retained because they did not interfere with cemented femoral stem implantation. Fourteen years after total hip arthroplasty, the patient reported no pain and expressed high satisfaction with the surgery. The hip radiograph showed wear of the polyethylene cup and no periprosthetic osteolysis. Retention of hardware can be considered, especially in patients who have had hardware for several years, without any negative symptoms.

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“…Trochanter valgus deformity (TVD) is an uncommon type of proximal femoral deformity [1,2]. Before ceramics and highly cross-linked polyethylene being used in orthopedic surgery, total hip arthroplasty (THA) in young patients had a high rate of failure [3].…”

Section: Introductionmentioning

confidence: 99%

Modular stem in total hip arthroplasty for patients with trochanter valgus deformity: surgical technique and case series

Kong

Chai

Yang

et al. 2020

Preprint

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Background: Trochanter valgus deformity (TVD) is a rare condition of total hip arthroplasty (THA). The femoral osteotomy might be required to correct the deformity to implant the femoral stem in severe TVD. In this study, we described one unpublished technique of reverse sleeve of S-ROM to get through the complex situation. This study aimed to summarize and evaluate its technical challenges, safety and effectiveness.Methods : From January 2006 to December 2014, the patients whose sleeves were implanted towards the great trochanter rather than sitting on the calcar, to solve the TVD in THA were enrolled. Their demographics, perioperative and postoperative information were recorded. To explore its indication, we measured and analyzed the ratio of greater trochanter/lesser trochanter (G/L ratio) and trochanter valgus angle (TVA).Results : Twelve patients (1 male and 11 female, average age 42.30±10.23) who had the complete clinical data were analyzed. The survivorship of femoral prosthesis were 100% with mean follow-up of 6 years. No other complications were found, except for two patients with intraoperative fracture of femur. The Harris hip score (HHS) increased from preoperative 34.31±14.43 to postoperative 84.12±11.33. All patients' G/L ratio were larger than 1.50.Conclusions: The reverse sleeve of S-ROM was a reliable method for the patients with severe trochanter valgus deformity, which brought satisfying clinical outcomes in mid-term follow-up.

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Total Hip Arthroplasty After Failed Intertrochanteric Valgus Osteotomy for Advanced Osteoarthrosis

Cited by 34 publications

References 14 publications

Long-term results of cementless femoral reconstruction following intertrochanteric osteotomy

Long-term results of cementless femoral reconstruction following intertrochanteric osteotomy

Cemented total hip arthroplasty with retention of some existing hardware

Modular stem in total hip arthroplasty for patients with trochanter valgus deformity: surgical technique and case series

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