Trochanteric osteotomy for recurrent dislocation of total hip arthroplasty. 1993

A Ekelund
Department of Orthopaedic Surgery, St. Göran's Hospital, Stockholm, Sweden.

Twenty-one patients with recurrent dislocation of total hip arthroplasty were treated by trochanteric osteotomy and distal advancement of the greater trochanter. There were no malpositioned prostheses. In 17 patients no further dislocations occurred. One patient, who had the hip arthroplasty in a paretic leg, continued to dislocate after the osteotomy and the prosthetic components were removed 5 months after surgery. The remaining three patients became stable after further surgery: cup augmentation in one and reattachment of the greater trochanter in two. Advancement of the greater trochanter is recommended in patients with recurrent dislocation of their total hip arthroplasty when no apparent malposition of the prosthetic components can be identified.

UI MeSH Term Description Entries
D008297 Male Males
D008722 Methods A series of steps taken in order to conduct research. Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010027 Osteotomy The surgical cutting of a bone. (Dorland, 28th ed) Osteotomies
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D012008 Recurrence The return of a sign, symptom, or disease after a remission. Recrudescence,Relapse,Recrudescences,Recurrences,Relapses
D012086 Reoperation A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery. Revision, Joint,Revision, Surgical,Surgery, Repeat,Surgical Revision,Repeat Surgery,Revision Surgery,Joint Revision,Revision Surgeries,Surgery, Revision
D005260 Female Females
D005272 Femur Neck The constricted portion of the thigh bone between the femur head and the trochanters. Femoral Neck,Neck, Femoral,Neck, Femur
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