Late Results of Intertrochanteric Osteotomy for Advanced Osteoarthritis of the Hip

Intertrochanteric osteotomy in osteoarthritis of the hip.

The name of McMurray (1935, 1939) is firmly associated with intertrochanteric osteotomy for the treatment of osteoarthritis of the hip, although this method was based on the bifurcation operation of Lorenz (1919) and was suggested by several previous authorsAshley (1923), Galland (1930), Hey Groves (1933) and Lowendorf (1933). There is still, however, no unanimity about the technique of operati...

Intertrochanteric Osteotomy for Osteoarthritis

osteotomies for osteoarthritis ofthe hip carried out between 1958 and 1970 were reviewed. After osteotomy the joint space in two thirds of the hips was increased and a similar proportion experienced relief of pain lasting at least five years. However, the effect of the osteotomy declined after some ten years; only a quarter ofthe hips had a lasting “good result” as defined in this investigation...

Cementless total hip replacement after previous intertrochanteric valgus osteotomy for advanced osteoarthritis.

We present a series of 30 uncemented total hip replacements performed between June 1985 and January 2002 with a mean follow-up of seven years (5 to 20) in 27 patients who had previously undergone a valgus intertrochanteric osteotomy. No further osteotomy was undertaken to enable hip replacement. We used a number of uncemented modular or monoblock femoral components, acetabular components and be...

OBSERVATIONS ON THE LATE RESULTS OF THE McMURRAY OSTEOTOMY FOR OSTEOARTHRITIS OF THE HIP

Long-term results of valgus-extension femoral osteotomy for advanced osteoarthritis of the hip.

We treated 31 hips in 30 patients with advanced osteoarthritis of the hip secondary to acetabular dysplasia, by valgus-extension femoral osteotomy. The mean follow-up was 12.7 years (10 to 17). Acetabuloplasty was added in ten severely dysplastic hips. In 28 hips, radiological widening of the joint space was seen three years after operation, but in 12 had narrowed again by ten years. Survivorsh...