[Joint-preserving Surgery of the Adult Hip. Intertrochanteric Femoral Osteotomy]

Overview

Journal Orthopade

Specialty Orthopedics

Date 2012 Aug 7

PMID 22864659

Citations 3

Authors

H Gollwitzer

J Schauwecker

R Burgkart

H Rechl

R von Eisenhart-Rothe

Affiliations

Soon will be listed here.

Abstract

Due to advances in total joint replacement, intertrochanteric osteotomy (ITO) is performed more infrequently in spite of good clinical results. Nevertheless, there are several good indications for this joint-preserving procedure in adults. Detailed biomechanical knowledge and precise clinical examination are prerequisites for correct indications and planning of ITO. The main target of this surgical procedure is improvement of joint congruency and normalization of load transfer to protect damaged cartilage. Very good results can be obtained in hip dysplasia, non-union of the femoral neck and proximal femoral deformities if the therapeutic principles are followed. Higher failure rates have to be expected in femoral head necrosis and osteoarthritis, depending on the degree of pre-existing cartilage damage.

Citing Articles

Prediction of time to prosthesis implantation as a function of joint anatomy in patients with developmental dysplasia of the hip.

Muller M, Rakow A, Wassilew G, Winkler T, Perka C J Orthop Surg Res. 2020; 14(1):471.

PMID: 31888687 PMC: 6936128. DOI: 10.1186/s13018-019-1511-4.

[Diagnostic algorithm "FAI and sports hernia" : Results of the consensus meeting for groin pain in athletes].

Schroder J, Conze J, Dora C, Fortelny R, Gebhart C, Gollwitzer H Orthopade. 2019; 49(3):211-217.

PMID: 31515590 DOI: 10.1007/s00132-019-03775-w.

[Intertrochanteric femoral osteotomy : Indications, surgical technique, results].

Janssen D, Luring C, Zahedi A Orthopade. 2016; 45(8):666-72.

PMID: 27246863 DOI: 10.1007/s00132-016-3263-8.

References

Tonnis D, Heinecke A . Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am. 1999; 81(12):1747-70. DOI: 10.2106/00004623-199912000-00014. View

Makela K, Eskelinen A, Pulkkinen P, Paavolainen P, Remes V . Results of 3,668 primary total hip replacements for primary osteoarthritis in patients under the age of 55 years. Acta Orthop. 2011; 82(5):521-9. PMC: 3242947. DOI: 10.3109/17453674.2011.618908. View

Schaeffeler C, Eiber M, Holzapfel K, Gollwitzer H, Rummeny E, Woertler K . The epiphyseal torsion angle in MR arthrography of the hip: diagnostic utility in patients with femoroacetabular impingement syndrome. AJR Am J Roentgenol. 2012; 198(3):W237-43. DOI: 10.2214/AJR.11.6656. View

Botser I, Ozoude G, Martin D, Siddiqi A, Kuppuswami S, Domb B . Femoral anteversion in the hip: comparison of measurement by computed tomography, magnetic resonance imaging, and physical examination. Arthroscopy. 2012; 28(5):619-27. DOI: 10.1016/j.arthro.2011.10.021. View

Haverkamp D, de Jong P, Marti R . Intertrochanteric osteotomies do not impair long-term outcome of subsequent cemented total hip arthroplasties. Clin Orthop Relat Res. 2006; 444:154-60. DOI: 10.1097/01.blo.0000194066.10227.1e. View

Shinar A, Harris W . Cemented total hip arthroplasty following previous femoral osteotomy: an average 16-year follow-up study. J Arthroplasty. 1998; 13(3):243-53. DOI: 10.1016/s0883-5403(98)90168-1. View

Fabricant P, Bedi A, De La Torre K, Kelly B . Clinical outcomes after arthroscopic psoas lengthening: the effect of femoral version. Arthroscopy. 2012; 28(7):965-71. DOI: 10.1016/j.arthro.2011.11.028. View

Zweifel J, Honle W, Schuh A . Long-term results of intertrochanteric varus osteotomy for dysplastic osteoarthritis of the hip. Int Orthop. 2009; 35(1):9-12. PMC: 3014494. DOI: 10.1007/s00264-009-0870-6. View

Buddenbrock B, Wissing H, Muller R, John V . [Radiological determination of femoral rotation deformity--computerized tomography, optimized measurement accuracy and exposure dosage]. Z Orthop Ihre Grenzgeb. 1997; 135(1):9-16. DOI: 10.1055/s-2008-1039548. View

10.

Siebenrock K, Ferner F, Noble P, Santore R, Werlen S, Mamisch T . The cam-type deformity of the proximal femur arises in childhood in response to vigorous sporting activity. Clin Orthop Relat Res. 2011; 469(11):3229-40. PMC: 3183218. DOI: 10.1007/s11999-011-1945-4. View

11.

Parsch D, Jung A, Thomsen M, Ewerbeck V, Aldinger P . Good survival of uncemented tapered stems for failed intertrochanteric osteotomy: a mean 16 year follow-up study in 45 patients. Arch Orthop Trauma Surg. 2007; 128(10):1081-5. DOI: 10.1007/s00402-007-0444-2. View

12.

Min B, Bae K, Kang C, Song K, Kim S, Won Y . Valgus intertrochanteric osteotomy for non-union of femoral neck fracture. Injury. 2006; 37(8):786-90. DOI: 10.1016/j.injury.2006.02.045. View

13.

Koulouvaris P, Stafylas K, Aznaoutoglou C, Zacharis K, Xenakis T . Isolated varus intertrochanteric osteotomy for hip dysplasia in 52 patients: long-term results. Int Orthop. 2006; 31(2):193-8. PMC: 2267570. DOI: 10.1007/s00264-006-0164-1. View

14.

Iwase T, Hasegawa Y, Kawamoto K, Iwasada S, Yamada K, Iwata H . Twenty years' followup of intertrochanteric osteotomy for treatment of the dysplastic hip. Clin Orthop Relat Res. 1996; (331):245-55. DOI: 10.1097/00003086-199610000-00035. View

15.

Haverkamp D, Marti R . Bilateral varus osteotomies in hip deformities: are early interventions superior? A long-term follow-up. Int Orthop. 2006; 31(2):185-91. PMC: 2267573. DOI: 10.1007/s00264-006-0147-2. View