Total Hip Arthroplasty After Failed Transtrochanteric Rotational Osteotomy for Avascular Necrosis of the Femoral Head

We compared the clinical and radiographic outcome of 15 hips converted to total hip arthroplasty after failed transtrochanteric rotational osteotomy (THA after TRO) for avascular necrosis of the femoral head (ANFH) with that of a matched control group of 16 hips with primary THA for ANFH. The operat...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty 2005-08, Vol.20 (5), p.574-579
Main Authors: Kawasaki, Masashi, Hasegawa, Yukiharu, Sakano, Shinji, Masui, Tetsuo, Ishiguro, Naoki
Format: Article
Language:English
Subjects:
Adult
Arthroplasty, Replacement, Hip
complication
failed transtrochanteric rotational osteotomy
Female
Femur Head - surgery
Femur Head Necrosis - surgery
Follow-Up Studies
Humans
Male
Middle Aged
Osteotomy
Reoperation
Survival Analysis
survival rate
total hip arthroplasty
Treatment Failure
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We compared the clinical and radiographic outcome of 15 hips converted to total hip arthroplasty after failed transtrochanteric rotational osteotomy (THA after TRO) for avascular necrosis of the femoral head (ANFH) with that of a matched control group of 16 hips with primary THA for ANFH. The operating time in THA after TRO was significantly longer than that in primary THA. Perioperative blood loss in THA after TRO was significantly more than that in primary THA. Postoperative complications were observed in 4 hips of THA after TRO. The Harris Hip Score, the stability of implants, and survival rates did not significantly differ in both groups. We conclude that TRO did not influence the outcome of secondary THA at short- and middle-term follow-up.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2005.01.018