ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025
Trochanteric reduction osteotomy for refractory greater trochanter painful syndrome.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConservative treatment is considered the gold standard for managing greater trochanteric pain syndrome (GTPS), with a reported success rate of 90%. However, when conservative measures fail, surgical intervention may be necessary. Various surgical techniques have been described, but consistent results remain elusive. This study aims to present our outcomes using trochanteric reduction osteotomy (TRO) as a rescue technique for refractory GTPS cases without gluteal tears.
methodsWe retrospectively evaluated all cases of GTPS refractory to conservative treatment that were managed with isolated TRO at a single center. The Visual Analogue Scale (VAS), the Western Ontario and McMaster Universities Arthritis Index (WOMAC), and the Non-Arthritic Hip Score (NAHS) were assessed preoperatively and at the end of follow-up. Additionally, patients were asked if they were satisfied with the procedure and whether they would undergo the surgery again. Complications were also recorded.
resultsA total of 11 TROs were performed in 10 patients with a minimum follow-up of 3 years (3-5.5). The series comprised 90% women, with an average age of 49 years. The mean improvement of the scores was: VAS 5 (- 2/8) points; NAHS 29.24 (- 16/52) points; WOMAC 34.59 (- 40/63) improving in all 3 categories. All patients except one were satisfied with the outcomes. Complications occurred in 5 cases (45.5%), all requiring reoperation: 3 for osteosynthesis failure due to delayed healing, 1 for symptomatic pseudarthrosis, and 1 for a subtrochanteric fracture.
conclusionDespite a high complication rate, the clinical outcomes at the end of follow-up are promising, with most patients reporting satisfaction. We believe this surgical option should be considered as part of the therapeutic arsenal for GTPS cases refractory to conservative treatment. LEVEL OF EVIDENCE: Case series with no control group. LEVEL IV:
Indexed as
Identifiers
41201654What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.