Ischio-femoral arthrodesis of the hip by posterior open approach.

نویسنده

  • W B FOLEY
چکیده

I have been much impressed by the rapidity and solidity of the extra-articular fusion of the hip joint that develops after osteotomy of the upper femoral shaft with insertion between the cut femoral surfaces of a strong and wide tibial graft which is driven into the ischium, as described by Brittain (1942). During the years 1942-44 I carried out the procedure described by Trumble (1937). A tibial graft was inserted between the tuber ischii and the shaft of the femur without osteotomy. In a small series of cases, all much younger than those described by Trumble, I found that the results were disappointing because the graft nearly always failed to fuse at either the ischial or the femoral end. Nevertheless, in performing Trumble’s operation I was struck by the excellent view gained of the sciatic nerve, the upper femoral shaft, and the lateral aspect of the pelvis. It seemed feasible to carry out the Brittain type of operation through this posterior approach under full vision, and with no risk of injuring the sciatic nerve. The first operation was performed in November 1945. Since then it has been done in nineteen other cases.

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عنوان ژورنال:
  • The Journal of bone and joint surgery. British volume

دوره 31B 2  شماره 

صفحات  -

تاریخ انتشار 1949