Application of extended trochanter osteotomy wire fixation combined with autologous bone graft in revision of total hip arthroplasty.
10.12200/j.issn.1003-0034.2022.04.006
- Author:
Hui-Bin TANG
1
;
Zhen-Guo SUN
1
;
Wei WENG
1
;
Zhan-Feng ZHANG
1
;
Hong-Hang YANG
1
Author Information
1. Department of Orthopaedics, the First People's Hospital of Huzhou, Osteoporotic Osteopathy Prevention and Treatment Center in Northern Zhejiang, the First Affiliated Hospital of Huzhou Normal University, Huzhou 313000, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Arthroplasty, replacement, hip;
Bone transplantation;
Bone wires;
Femur;
Osteotomy;
Reoperation
- MeSH:
Aged;
Aged, 80 and over;
Arthroplasty, Replacement, Hip/methods*;
Bone Transplantation;
Bone Wires;
Female;
Femur/surgery*;
Humans;
Male;
Osteotomy/methods*
- From:
China Journal of Orthopaedics and Traumatology
2022;35(4):333-337
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the clinical effect of using lengthened trochanteric osteotomy wire fixation combined with autologous bone graft in patients undergoing revision total hip arthroplasty.
METHODS:From December 2010 to December 2018, 18 patients underwent revision of total hip arthroplasty with extended trochanteric osteotomy wire fixation and autogenous bone graft, including 8 males and 10 females with an average age of (78.89±3.32) years old ranging from 68 to 82 years. The time from the initial replacement to the revision was 9 to 22 (16.33±2.93) years. The patients were followed up regularly after operation. The healing time of osteotomy, the time of full weight-bearing activity, Harris score of hip joint and complications were recorded.
RESULTS:All 18 patients were followed up for 16 to 38 months with an average of (25.78±6.65) months. The incision length was 16 to 21 cm with an average of (18.89±1.32) cm; the operation time was 105 to 128 min with an average of (115.44±6.59) min, the bleeding volume was 240 to 285 ml with an average of (267.44±13.77) ml. The healing time of osteotomy was 12 to 18 weeks with an average of (15.61±1.75) weeks. Harris score of hip joint was (47.11±5.04) before operation, (76.39±3.85) during full weight-bearing activities, and (82.22±2.76) at the final follow-up(P<0.05). During the follow-up period, there were no complications such as limb shortening, infection, poor incision healing, prosthesis loosening and sinking, and periprosthetic fracture.
CONCLUSION:In revision total hip arthroplasty, the use of extended trochanteric osteotomy wire fixation combined with autologous bone graft can achieve satisfactory clinical results, but the surgeon needs to make a systematic plan for the pre-revision, intraoperative and postoperative recovery.
