Oblique Posterior Trochanteric Osteotomy in Revision Total Hip Arthroplasty
Abstract 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 e...
Gespeichert in:
| Veröffentlicht in: | The Journal of arthroplasty 2011-04, Vol.26 (3), p.472-475 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 475 |
|---|---|
| container_issue | 3 |
| container_start_page | 472 |
| container_title | The Journal of arthroplasty |
| container_volume | 26 |
| creator | Stuchin, Steven A., MD Millman, Jennifer S., BS |
| description | Abstract 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. |
| doi_str_mv | 10.1016/j.arth.2010.04.019 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_859313190</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0883540310002512</els_id><sourcerecordid>859313190</sourcerecordid><originalsourceid>FETCH-LOGICAL-c410t-b7594b7a24e1c73509b467ea035385d959561135f004cf8fc6c1b937bb5440c3</originalsourceid><addsrcrecordid>eNp9kUFrGzEQhUVJaFy3f6CHsrec1p1ZSbsrKAFjkiYk4JL4LrTyLJG7XrnS2uB_Xy12esihp2GG9x4z3zD2FWGGgOX3zcyE4XVWQBqAmAGqD2yCkhd5LaC8YBOoa55LAfyKfYpxA4AopfjIrgqQAmsFE_a4bDr3Z0_ZLx8HCs6HbBW8fTX92NlsmaZ-8Ntj5vrsmQ4uOt9nKz-YLrt3u2yeNgh-15k4HD-zy9Z0kb6c65St7m5Xi_v8afnzYTF_yq1AGPKmkko0lSkEoa24BNWIsiIDXPJarpVUskTksgUQtq1bW1psFK-aRgoBlk_Z9Sl2F3zaPA5666KlrjM9-X3UtVQcOSpIyuKktMHHGKjVu-C2Jhw1gh4R6o0eEeoRoQahE8Jk-naO3zdbWv-zvDFLgh8nAaUbD46CjtZRb2ntAtlBr737f_7NO7vtXO-s6X7TkeLG70Of6GnUsdCgX8Ynjj9EACgkFvwvQBmWkA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>859313190</pqid></control><display><type>article</type><title>Oblique Posterior Trochanteric Osteotomy in Revision Total Hip Arthroplasty</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Stuchin, Steven A., MD ; Millman, Jennifer S., BS</creator><creatorcontrib>Stuchin, Steven A., MD ; Millman, Jennifer S., BS</creatorcontrib><description>Abstract 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.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2010.04.019</identifier><identifier>PMID: 20541890</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - instrumentation ; Arthroplasty, Replacement, Hip - methods ; Bone Screws ; Female ; Femur - surgery ; hip joint ; Humans ; Joint Instability - etiology ; Joint Instability - prevention & control ; Male ; Middle Aged ; Orthopedics ; Osteolysis - complications ; Osteolysis - surgery ; Osteotomy - methods ; Reoperation ; Retrospective Studies ; revision arthroplasty ; surgical approaches ; Treatment Outcome ; trochanteric osteotomy</subject><ispartof>The Journal of arthroplasty, 2011-04, Vol.26 (3), p.472-475</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-b7594b7a24e1c73509b467ea035385d959561135f004cf8fc6c1b937bb5440c3</citedby><cites>FETCH-LOGICAL-c410t-b7594b7a24e1c73509b467ea035385d959561135f004cf8fc6c1b937bb5440c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2010.04.019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20541890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stuchin, Steven A., MD</creatorcontrib><creatorcontrib>Millman, Jennifer S., BS</creatorcontrib><title>Oblique Posterior Trochanteric Osteotomy in Revision Total Hip Arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract 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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Bone Screws</subject><subject>Female</subject><subject>Femur - surgery</subject><subject>hip joint</subject><subject>Humans</subject><subject>Joint Instability - etiology</subject><subject>Joint Instability - prevention & control</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteolysis - complications</subject><subject>Osteolysis - surgery</subject><subject>Osteotomy - methods</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>revision arthroplasty</subject><subject>surgical approaches</subject><subject>Treatment Outcome</subject><subject>trochanteric osteotomy</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFrGzEQhUVJaFy3f6CHsrec1p1ZSbsrKAFjkiYk4JL4LrTyLJG7XrnS2uB_Xy12esihp2GG9x4z3zD2FWGGgOX3zcyE4XVWQBqAmAGqD2yCkhd5LaC8YBOoa55LAfyKfYpxA4AopfjIrgqQAmsFE_a4bDr3Z0_ZLx8HCs6HbBW8fTX92NlsmaZ-8Ntj5vrsmQ4uOt9nKz-YLrt3u2yeNgh-15k4HD-zy9Z0kb6c65St7m5Xi_v8afnzYTF_yq1AGPKmkko0lSkEoa24BNWIsiIDXPJarpVUskTksgUQtq1bW1psFK-aRgoBlk_Z9Sl2F3zaPA5666KlrjM9-X3UtVQcOSpIyuKktMHHGKjVu-C2Jhw1gh4R6o0eEeoRoQahE8Jk-naO3zdbWv-zvDFLgh8nAaUbD46CjtZRb2ntAtlBr737f_7NO7vtXO-s6X7TkeLG70Of6GnUsdCgX8Ynjj9EACgkFvwvQBmWkA</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Stuchin, Steven A., MD</creator><creator>Millman, Jennifer S., BS</creator><general>Elsevier Inc</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>7X8</scope></search><sort><creationdate>20110401</creationdate><title>Oblique Posterior Trochanteric Osteotomy in Revision Total Hip Arthroplasty</title><author>Stuchin, Steven A., MD ; Millman, Jennifer S., BS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-b7594b7a24e1c73509b467ea035385d959561135f004cf8fc6c1b937bb5440c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Bone Screws</topic><topic>Female</topic><topic>Femur - surgery</topic><topic>hip joint</topic><topic>Humans</topic><topic>Joint Instability - etiology</topic><topic>Joint Instability - prevention & control</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteolysis - complications</topic><topic>Osteolysis - surgery</topic><topic>Osteotomy - methods</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>revision arthroplasty</topic><topic>surgical approaches</topic><topic>Treatment Outcome</topic><topic>trochanteric osteotomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stuchin, Steven A., MD</creatorcontrib><creatorcontrib>Millman, Jennifer S., BS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stuchin, Steven A., MD</au><au>Millman, Jennifer S., BS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oblique Posterior Trochanteric Osteotomy in Revision Total Hip Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>26</volume><issue>3</issue><spage>472</spage><epage>475</epage><pages>472-475</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract 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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>20541890</pmid><doi>10.1016/j.arth.2010.04.019</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-5403 |
| ispartof | The Journal of arthroplasty, 2011-04, Vol.26 (3), p.472-475 |
| issn | 0883-5403 1532-8406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_859313190 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - instrumentation Arthroplasty, Replacement, Hip - methods Bone Screws Female Femur - surgery hip joint Humans Joint Instability - etiology Joint Instability - prevention & control Male Middle Aged Orthopedics Osteolysis - complications Osteolysis - surgery Osteotomy - methods Reoperation Retrospective Studies revision arthroplasty surgical approaches Treatment Outcome trochanteric osteotomy |
| title | Oblique Posterior Trochanteric Osteotomy in Revision Total Hip Arthroplasty |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T05%3A36%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Oblique%20Posterior%20Trochanteric%20Osteotomy%20in%20Revision%20Total%20Hip%20Arthroplasty&rft.jtitle=The%20Journal%20of%20arthroplasty&rft.au=Stuchin,%20Steven%20A.,%20MD&rft.date=2011-04-01&rft.volume=26&rft.issue=3&rft.spage=472&rft.epage=475&rft.pages=472-475&rft.issn=0883-5403&rft.eissn=1532-8406&rft_id=info:doi/10.1016/j.arth.2010.04.019&rft_dat=%3Cproquest_cross%3E859313190%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=859313190&rft_id=info:pmid/20541890&rft_els_id=S0883540310002512&rfr_iscdi=true |