ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2020
Total Hip Arthroplasty Combined With Subtrochanteric Transverse Shortening Osteotomy: Factors Associated With Delayed Union at the Osteotomy Site.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Hybrid plate-and-UHMWPE fixation for step-cut subtrochanteric osteotomy in crowe IV hip dysplasia: a finite element-supported case report.BMC musculoskeletal disorders · 2026Article
- Total Hip Arthroplasty with Subtrochanteric Femoral Shortening Osteotomy for Crowe Type IV Post-Dysplastic Hip Osteoarthritis: Clinical and Radiological Outcomes.Journal of clinical medicine · 2026Article
- What is the femoral shortening osteotomy in THA for congenital high hip dislocation with the lowest complication rate? A systematic review.EFORT open reviews · 2026Article
- Proximal fragment perfusion following hip arthroplasty with subtrochanteric shortening osteotomy in cases with severe developmental dysplasia of the hip.Turkish journal of medical sciences · 2026Article
- Total hip arthroplasty with subtrochanteric osteotomy for severe developmental dysplasia of the hip: A systematic review and meta-analysis.Journal of orthopaedics · 2025Review
- Early Functional and Radiographic Outcomes of Stable Fixation with a Derotational Plate in Subtrochanteric Osteotomy for Crowe IV Developmental Dysplasia of the Hip.Orthopedic reviews · 2025Article
- Subtrochanteric Osteotomy in Direct Anterior Approach Total Hip Arthroplasty for Crowe IV Dysplasia-Surgical Technique and Literature Review.Orthopaedic surgery · 2024Review
- Mid-Term Outcomes of Cemented Stem and Subtrochanteric Shortening Derotational Osteotomy in Total Hip Arthroplasty for Crowe IV Developmental Dysplasia.Orthopaedic surgery · 2022Article
- Total Hip Arthroplasty With Subtrochanteric Osteotomy for Developmental Hip Dysplasia: A Long-term Follow-up Study.Arthroplasty today · 2022Article
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Authors and funding
4 authors.
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Abstract
backgroundTotal hip arthroplasty (THA) with subtrochanteric shortening osteotomy for Crowe type IV hips poses the risk of nonunion at the osteotomy site. The aim of this study was to analyze the factors that affect the bone union rate at the osteotomy site.
methodsWe retrospectively reviewed a consecutive series of 27 THAs with subtrochanteric transverse shortening osteotomy performed for Crowe type IV hips. The effects of patient-related and surgery-related factors on the risk of delayed union were analyzed using univariate and multivariate regression analyses.
resultsThe mean follow-up period was 10.0 (1.4 to 19.1) years. The implant survival rate was 87.8% (95% confidence interval: 60.2% to 97.2%) at 10 years. The length of femoral bone resection was the only factor associated with the risk of delayed union. Longer bone resection lengths were significantly correlated with the reduced risk of delayed union (odds ratio: 0.63 [0.030 to 0.90], P = 0.0013). Other variables, including the use of a cement stem (P = 0.34) and the presence of a gap >1 mm at the osteotomy site (P = 0.98), were not associated with the risk of delayed union. DISCUSSION: THA with subtrochanteric transverse osteotomy provides satisfactory long-term results for Crowe type IV hips. For shorter required femoral resection lengths, the risk of delayed union was higher. A longer resection could permit fabrication of longer autologous longitudinal bone struts and likely contributes to enhanced stability at the osteotomy site.
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