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Application of extended trochanter osteotomy wire fixation combined with autologous bone graft in revision of total hip arthroplasty / 中国骨伤
China Journal of Orthopaedics and Traumatology ; (12): 333-337, 2022.
Article in Chinese | WPRIM | ID: wpr-928318
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.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Osteotomy / Bone Wires / Bone Transplantation / Arthroplasty, Replacement, Hip / Femur Limits: Aged / Aged80 / Female / Humans / Male Language: Chinese Journal: China Journal of Orthopaedics and Traumatology Year: 2022 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Osteotomy / Bone Wires / Bone Transplantation / Arthroplasty, Replacement, Hip / Femur Limits: Aged / Aged80 / Female / Humans / Male Language: Chinese Journal: China Journal of Orthopaedics and Traumatology Year: 2022 Type: Article