The Greenbrier, White Sulphur Springs, West Virginia Greater Trochanteric Osteoplasty in Revision Hip Arthroplasty,

GREATER TROCHANTERIC OSTEOPLASTY IN REVISION HIP ARTHROPLASTY, David E. Attarian, MD and Michael P. Bolognesi, MD, Duke Medical Center, Durham, North Carolina Revision hip arthroplasty when the greater trochanter has migrated proximally can be challenging, particularly in regard to surgical exposure of the joint, re-establishing leg length, avoiding postoperative impingement/ instability, and achieving a functional hip with less pain and greater motion. Often, the surgical solution to these problems has included greater trochanteric and/or subtrochanteric osteotomy. This report describes two cases that were treated with greater trochanteric osteoplasty (reshaping and partial resection of the greater trochanteric tip) through a modified direct lateral approach; this novel alternative surgical technique accomplishes the procedural goals without major osteotomy and the potential associated complications. Both patients were very satisfied with their outcome.