The Outcome of Modified Extended Trochanteric Osteotomy in Revision THA for Vancouver B2/B3 Periprosthetic Fractures of the Femur

Abstract We hypothesised that a modified ETO in patients undergoing revision total hip arthroplasty (THA) for treatment of Vancouver B2/B3 peri-prosthetic fractures would be associated with good clinical outcomes. A retrospective review was conducted of 34 patients (mean age 73 years). At mean follo...

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Published inThe Journal of arthroplasty Vol. 29; no. 8; pp. 1598 - 1604
Main Authors Drexler, Michael, MD, Dwyer, Tim, MBBS, FRACS, FRCSC, Chakravertty, Rajesh, MD, FRCSC, Backstein, David, MD, MEd, FRCSC, Gross, Allan E., MD, FRCSC, O.Ont, Safir, Oleg, MD, FRCSC
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2014
Subjects
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - methods
Female
Femur - diagnostic imaging
Femur - surgery
Follow-Up Studies
Hip Dislocation - diagnostic imaging
Hip Dislocation - etiology
Hip Dislocation - surgery
Humans
Kaplan-Meier Estimate
Male
Middle Aged
modified extended trochanteric osteotomy
Orthopedics
Osteotomy - methods
periprosthetic fractures
Periprosthetic Fractures - diagnostic imaging
Periprosthetic Fractures - etiology
Periprosthetic Fractures - surgery
Radiography
Reoperation - methods
Retrospective Studies
Treatment Outcome
Vancouver B2/B3
Vancouver B2/B3
modified extended trochanteric osteotomy
periprosthetic fractures
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Summary:Abstract We hypothesised that a modified ETO in patients undergoing revision total hip arthroplasty (THA) for treatment of Vancouver B2/B3 peri-prosthetic fractures would be associated with good clinical outcomes. A retrospective review was conducted of 34 patients (mean age 73 years). At mean follow-up of 57 months, the ETO had healed in all patients. Two patients had subsidence of the femoral stem at two and three years postoperatively requiring revision, and one patient had a dislocation 3 months after surgery. The mean Harris Hip Score at the time of the final follow-up was 76.9 (range, 46–95); 23/34 patients had an excellent result, 7/34 a good result, and 4/34 a poor result. We conclude that satisfactory outcomes can be obtained using this technique.
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ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2014.03.020