Ischio-femoral Arthrodesis for Tuberculosis of the Hip.

Ischio-femoral arthrodesis of the hip in tuberculosis; an anterior approach.

The operation to be described here is a modification of the ischio-femorai arthrodesis described by Brittain (1942). It is performed through an anterior incision, deepened so as to expose the upper part of the shaft of the femur and the ischium. Iliac bone grafts are inserted under direct vision. The evolution of this method of fusing the hip for tuberculous artilritis will be described briefly...

Analysis of Thirty-six Cases of Ischio-femoral Arthrodesis by the Trumbl Technique

In 1932 Trumble described “ A method of fixation of the hip joint b ’ means of all extra-articular bone graft,” and reported three cases, all with successful results. In a late’r paper (1937) he reported five further cases: four were successful, hut in one the graft faile’d to fuse with the ischium, allowing slight though painless movement at the hip joint. Four subsequent operations were all s...

Ischio-femoral arthrodesis by the posterior approach.

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

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 tibi...

Hip Arthrodesis with the Anterolateral Plate: An Innovating Technique for an Orphaned Procedure

BACKGROUND In developing countries hip osteoarthritis constitutes a major public health issue as it is highly prevalent in all age ranges of population, including the young. It often remains untreated because of the low accessibility of total hip prostheses. Hip arthrodesis still represents a major treatment option, but, for several reasons which are discussed in this paper, is nowadays infrequ...