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J Am Acad Orthop Surg, Vol 11, No 3, May/June 2003, 163-173.
© 2003 the American Academy of Orthopaedic Surgeons
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Trochanteric Osteotomy and Fixation During Total Hip Arthroplasty

Michael J. Archibeck, MD, Aaron G. Rosenberg, MD, Richard A. Berger, MD and Craig D. Silverton, DO

Dr. Archibeck is in private practice, New Mexico Center for Joint Replacement Surgery, New Mexico Orthopaedics, Albuquerque, NM. Dr. Rosenberg is Professor, Orthopaedic Surgery, Rush–Presbyterian–St. Luke’s Medical Center, Chicago, IL. Dr. Berger is Assistant Professor, Orthopaedic Surgery, Rush–Presbyterian–St. Luke’s Medical Center. Dr. Silverton is Assistant Professor, Orthopaedic Surgery, Henry Ford Medical Center, Detroit, MI.

Reprint requests: Dr. Berger, Suite 1063, 1725 West Harrison Street, Chicago, IL 60612.

Once used routinely, trochanteric osteotomy in total hip arthroplasty now is usually limited to difficult primary and revision cases. There are three types: the standard trochanteric osteotomy and its variations, the trochanteric slide, and the extended trochanteric osteotomy. Each has unique indications, fixation techniques, and complications. Primary total hip arthroplasty procedures requiring the enhanced exposure provided by trochanteric osteotomy may be needed in patients with hip ankylosis or fusion, protrusio acetabuli, proximal femoral deformities, developmental dysplasia, or abductor muscle laxity. Trochanteric osteotomies in revision arthroplasties, primarily the extended trochanteric osteotomy, facilitate the removal of well-fixed femoral components, provide direct access to the diaphysis for distal fixation, and enhance acetabular exposure.




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G. J Jarit, S. S Sathappan, A. Panchal, E. Strauss, and P. E. Di Cesare
Fixation Systems of Greater Trochanteric Osteotomies: Biomechanical and Clinical Outcomes
J. Am. Acad. Ortho. Surg., October 1, 2007; 15(10): 614 - 624.
[Abstract] [Full Text] [PDF]


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Copyright © 2003 by the American Academy of Orthopaedic Surgeons.