Current indications for trochanteric osteotomy include improving exposure to the femoral intramedullary canal through correction of proximal femoral angular deformities, such as medial greater trochanteric overhang1; improving general exposure to the acetabulum and femoral canal in complex primary and revision hip total hip arthroplasty (THA)2; and facilitating exposure to the anterosuperior ac...

A new approach to the hip is described that allows better exposure for difficult revision surgery without the need for trochanteric osteotomy. A V-shaped myofascial flap consisting of the proximal part of vastus lateralis and its fascia with gluteus medius and minimus, is reflected off the greater trochanter and proximal femur giving access to the entire capsule of the hip. If the leg has been ...

artllfoiilT f X~ray photograph showing the results of the cup Fig. 7.?Is a reduction print of an x-ray photograph nasty alter 4 months. It is difficult to see the osteotomy line which is reversed by the photo-artist during reduction after fusion of the trochanter with the shaft. printing. This shows ihe sum ton's curve slightly exaggerated. fcj. ? i a? ^ T,1?' !??Shows a clinical photograph tll...

Introduction: Technical difficulties in managing a case of transcervical femur fracture post-polio residual paralysis patient with dysplastic femur. Case Report: We present 66 year male Post-Polio Paralysis walking Hand to knee gait who sustained Femur fracture. The faced this were narrow medullary canal, coxa valgus, greater trochanter, hypoplastic lesser Shallow acetabulum, inability compare ...

Total hip arthroplasty (THA) for high congenital hip dislocation (CHD) is technically demanding. The purpose of this retrospective study was to evaluate the results of cementless THA combined with extended sliding trochanteric osteotomy. We also assessed whether chronic low back pain was relieved after surgery.The study included 19 patients (23 hips) with high CHD treated with cementless THA us...

Several surgical approaches could be used in hip arthroplasty or trauma surgery: anterior, anterolateral, lateral, posterior (with or without trochanterotomy), using or not an orthopedic reduction table. Subtrochanteric and extra-capsular trochanteric fractures (ECTF) are usually treated by internal fixation with mandatory restrictions on weight bearing. Specific complications have been widely ...

OBJECTIVE To present our experience and preliminary results from using controlled hip dislocation to treat cam-like femoroacetabular impingement, in teenagers and young adults with sequelae of slipped capital femoral epiphysis. METHODS This was a retrospective analysis on 15 patients who were treated in a tertiary-level hospital between 2011 and 2013. The following data were collected for ana...

background: legg-calve´-perthes disease is a juvenile idiopathic osteonecrosis in which the blood supply of femoral head is not sufficient and the bone dies provisionally. the aim of this study is to evaluate outcome of femoral osteotomy in children with lcpd in our university hospital.   methods: in a descriptive analytic study, between 2008 and 2013, patients with the diagnosis of legg-calve’...