ABSTRACT
This review article presents a comprehensive literature review regarding extended trochanteric osteotomy (ETO).The history, rationale, biomechanical considerations as well as indications are discussed.The outcomes and complications as reported in the literature are presented, discussed and compared with our own practice.Based on the available evidence, we present our preferred technique for performing ETO, its fixation, as well as post-operative rehabilitation.The ETO aids implant removal and enhanced access. Reported union rate of ETO is high. The complications related to ETO are much less frequent than in cases when accidental intra-operative femoral fracture occurred that required fixation.Based on the literature and our own experience we recommend ETO as a useful adjunct in the arsenal of the revision hip specialist. Cite this article: EFORT Open Rev 2020;5:104-112. DOI: 10.1302/2058-5241.5.190005.
ABSTRACT
BACKGROUND: Aim of this study was to evaluate stem subsidence and survivorship of implant following implantation of Revitan (Zimmer) and MP (Waldemar Link) stems. METHODS: Retrospective case series with clinical and radiological follow-up of 1-10 years. RESULTS: 47 Revitan and 57 MP stems were analyzed. In 12 cases there was subsidence of the stem present. Two Revitan stems and one MP stem were revised as a result of subsidence. Failure rate was 4.3% for Revitan, 1.8% for MP stem and difference was not statistically significant. CONCLUSION: There is no significant difference in subsidence or survivorship between Revitan and MP stems.
