ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2018
Extended trochanteric osteotomy (ETO) fixation for femoral stem revision in periprosthetic fractures: Dall-Miles plate versus cables.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- The race for the classification of proximal periprosthetic femoral fractures : Vancouver vs Unified Classification System (UCS) - a systematic review.BMC musculoskeletal disorders · 2022Pooled it
- Extended Trochanteric Osteotomy Does Not Compromise Functional and Radiographic Outcomes of Femoral Stem Revisions with the Use of an Uncemented Modular Conical Stem.Journal of clinical medicine · 2024Article
- Successful hip revision surgery following refracture of a modern femoral stem using a cortical window osteotomy technique: A case report and review of literature.World journal of methodology · 2023Article
- Greater trochanter fixed with a claw plate and cable system in complex primary and revision total hip arthroplasty: long-term follow-up.International orthopaedics · 2022Article
- Extended trochanteric osteotomy in revision hip arthroplasty: a case series study and systematic literature review.Arthroplasty (London, England) · 2022Article
- Trochanteric osteotomy in revision total hip arthroplasty.EFORT open reviews · 2020Review
- Extended trochanteric osteotomy: improving the access and reducing the risk in revision THA.EFORT open reviews · 2020Review
- Article
- Superior patient reported outcome measures reported post Articular Surface Replacement (ASR) revision arthroplasty in the setting of an objective surgical indication.Journal of orthopaedicsArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExtended trochanteric osteotomy (ETO) is a well-established surgical technique used for femoral stem retrieval in revision hip arthroplasty procedures. Fixation of ETO is commonly achieved through wire, cable or cable-plate fixation. No evidence exists to date to suggest which method is superior when used in an acute traumatic setting.
methodsThirty cases of acute periprosthetic fracture requiring femoral stem revision with an ETO were identified over a 10-year period. Each case had a loose femoral prosthesis which was revised using an ETO approach. Nineteen of these were fixed using cables only, and 11 were fixed using a cable-plate construct. Radiographic outcomes measured included greater trochanter migration, osteolysis, union, time to union and overall success using the Beals and Tower classification. Clinical outcomes were assessed using the modified Harris Hip Score.
resultsTwenty-three Vancouver B/C-type fractures were identified. The remaining seven consisted of other fracture types with a loose femoral stem requiring revision through ETO. Mean follow-up was 32 months in the cable group and 12 months in the cable-plate group. The cable-plate construct performed better than cables alone. Mean migration rates were 1.7 mm lower in the cable-plate group (p < 0.05). Beals and Tower classification of radiographic outcomes was significantly better in the cable-plate group (p < 0.01). Modified Harris Hip Scores were better in this group also (p < 0.05).
conclusionWhen utilising an ETO approach for femoral stem revision in acute periprosthetic fractures, superior clinical and radiographic outcomes can be achieved if fixation involves a cable-plate system instead of cables only.
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