Trochanteric osteotomy in primary and revision total hip arthroplasty: risk factors for non-union
Background Trochanteric osteotomies (TO) facilitate exposure and “true hip reconstruction” in complex primary and revision total hip arthroplasty (THA). However, non-union represents a clinically relevant complication. The purpose of the present study was to identify risk factors for trochanteric no...
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Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2012-05, Vol.132 (5), p.711-717 |
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creator | Wieser, Karl Zingg, Patrick Dora, Claudio |
description | Background
Trochanteric osteotomies (TO) facilitate exposure and “true hip reconstruction” in complex primary and revision total hip arthroplasty (THA). However, non-union represents a clinically relevant complication. The purpose of the present study was to identify risk factors for trochanteric non-union.
Methods
All cases of THA approached by TO during the past 10 years were analyzed with respect to potential risk factors for non-union.
Results
In 298 cases complete data were available for analysis. Trochanteric union occurred in 80.5%, fibrous union in 5.4% and non-union 14.1%. Risk factor analysis revealed a four times higher risk for non-union in anterior trochanteric slide osteotomies compared to extended trochanteric osteotomies and a three times higher risk in cemented versus non-cemented stems. Multiple logistic regression analysis revealed patient’s age and use of cement to be independent risk factors for non-union.
Conclusions
Femoral cementation and increasing age negatively influence the union of trochanteric osteotomies. |
doi_str_mv | 10.1007/s00402-011-1457-4 |
format | Article |
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Trochanteric osteotomies (TO) facilitate exposure and “true hip reconstruction” in complex primary and revision total hip arthroplasty (THA). However, non-union represents a clinically relevant complication. The purpose of the present study was to identify risk factors for trochanteric non-union.
Methods
All cases of THA approached by TO during the past 10 years were analyzed with respect to potential risk factors for non-union.
Results
In 298 cases complete data were available for analysis. Trochanteric union occurred in 80.5%, fibrous union in 5.4% and non-union 14.1%. Risk factor analysis revealed a four times higher risk for non-union in anterior trochanteric slide osteotomies compared to extended trochanteric osteotomies and a three times higher risk in cemented versus non-cemented stems. Multiple logistic regression analysis revealed patient’s age and use of cement to be independent risk factors for non-union.
Conclusions
Femoral cementation and increasing age negatively influence the union of trochanteric osteotomies.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-011-1457-4</identifier><identifier>PMID: 22228280</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - methods ; Cementation ; Female ; Femur - surgery ; Hip Arthroplasty ; Hip Joint - diagnostic imaging ; Hip Prosthesis ; Humans ; Joint surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Osteotomy - adverse effects ; Radiography ; Reoperation ; Risk Factors ; Wound Healing ; Young Adult</subject><ispartof>Archives of orthopaedic and trauma surgery, 2012-05, Vol.132 (5), p.711-717</ispartof><rights>Springer-Verlag 2012</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2012). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-d1dfd24f3a5538c0da75bb3de05552294e4dda4473ef235369fd97ed238eaebe3</citedby><cites>FETCH-LOGICAL-c372t-d1dfd24f3a5538c0da75bb3de05552294e4dda4473ef235369fd97ed238eaebe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-011-1457-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-011-1457-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22228280$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wieser, Karl</creatorcontrib><creatorcontrib>Zingg, Patrick</creatorcontrib><creatorcontrib>Dora, Claudio</creatorcontrib><title>Trochanteric osteotomy in primary and revision total hip arthroplasty: risk factors for non-union</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Background
Trochanteric osteotomies (TO) facilitate exposure and “true hip reconstruction” in complex primary and revision total hip arthroplasty (THA). However, non-union represents a clinically relevant complication. The purpose of the present study was to identify risk factors for trochanteric non-union.
Methods
All cases of THA approached by TO during the past 10 years were analyzed with respect to potential risk factors for non-union.
Results
In 298 cases complete data were available for analysis. Trochanteric union occurred in 80.5%, fibrous union in 5.4% and non-union 14.1%. Risk factor analysis revealed a four times higher risk for non-union in anterior trochanteric slide osteotomies compared to extended trochanteric osteotomies and a three times higher risk in cemented versus non-cemented stems. Multiple logistic regression analysis revealed patient’s age and use of cement to be independent risk factors for non-union.
Conclusions
Femoral cementation and increasing age negatively influence the union of trochanteric osteotomies.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Cementation</subject><subject>Female</subject><subject>Femur - surgery</subject><subject>Hip Arthroplasty</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteotomy - adverse effects</subject><subject>Radiography</subject><subject>Reoperation</subject><subject>Risk Factors</subject><subject>Wound Healing</subject><subject>Young Adult</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kMtKAzEUQIMotlY_wI0E3LiJ5jmZcSfFFwhudD2kkzt26jSpSUbo35vSqiCYTRY59-RyEDpl9JJRqq8ipZJyQhkjTCpN5B4aMykkERUr9tGYVqIgJVVshI5iXFDKeFnRQzTi-ZS8pGNkXoJv5sYlCF2DfUzgk1-ucefwKnRLE9bYOIsDfHax8w4nn0yP590Km5Dmwa96E9P6GocuvuPWNMmHiFsfsPOODC6PHKOD1vQRTnb3BL3e3b5MH8jT8_3j9OaJNELzRCyzreWyFUYpUTbUGq1mM2GBKqU4ryRIa42UWkDLhRJF1dpKg-WiBAMzEBN0sfWugv8YIKZ62cUG-t448EOsc7FK8VLnQBN0_gdd-CG4vF3NecEqXRYFzxTbUk3wMQZo612RrNrYdL3tX-f-9aZ_vTGf7czDbAn2Z-I7eAb4Foj5yb1B-P36f-sXtdSRaQ</recordid><startdate>20120501</startdate><enddate>20120501</enddate><creator>Wieser, Karl</creator><creator>Zingg, Patrick</creator><creator>Dora, Claudio</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20120501</creationdate><title>Trochanteric osteotomy in primary and revision total hip arthroplasty: risk factors for non-union</title><author>Wieser, Karl ; Zingg, Patrick ; Dora, Claudio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-d1dfd24f3a5538c0da75bb3de05552294e4dda4473ef235369fd97ed238eaebe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Cementation</topic><topic>Female</topic><topic>Femur - surgery</topic><topic>Hip Arthroplasty</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteotomy - adverse effects</topic><topic>Radiography</topic><topic>Reoperation</topic><topic>Risk Factors</topic><topic>Wound Healing</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wieser, Karl</creatorcontrib><creatorcontrib>Zingg, Patrick</creatorcontrib><creatorcontrib>Dora, Claudio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wieser, Karl</au><au>Zingg, Patrick</au><au>Dora, Claudio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trochanteric osteotomy in primary and revision total hip arthroplasty: risk factors for non-union</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2012-05-01</date><risdate>2012</risdate><volume>132</volume><issue>5</issue><spage>711</spage><epage>717</epage><pages>711-717</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Background
Trochanteric osteotomies (TO) facilitate exposure and “true hip reconstruction” in complex primary and revision total hip arthroplasty (THA). However, non-union represents a clinically relevant complication. The purpose of the present study was to identify risk factors for trochanteric non-union.
Methods
All cases of THA approached by TO during the past 10 years were analyzed with respect to potential risk factors for non-union.
Results
In 298 cases complete data were available for analysis. Trochanteric union occurred in 80.5%, fibrous union in 5.4% and non-union 14.1%. Risk factor analysis revealed a four times higher risk for non-union in anterior trochanteric slide osteotomies compared to extended trochanteric osteotomies and a three times higher risk in cemented versus non-cemented stems. Multiple logistic regression analysis revealed patient’s age and use of cement to be independent risk factors for non-union.
Conclusions
Femoral cementation and increasing age negatively influence the union of trochanteric osteotomies.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22228280</pmid><doi>10.1007/s00402-011-1457-4</doi><tpages>7</tpages></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - methods Cementation Female Femur - surgery Hip Arthroplasty Hip Joint - diagnostic imaging Hip Prosthesis Humans Joint surgery Male Medicine Medicine & Public Health Middle Aged Orthopedics Osteotomy - adverse effects Radiography Reoperation Risk Factors Wound Healing Young Adult |
title | Trochanteric osteotomy in primary and revision total hip arthroplasty: risk factors for non-union |
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