Archibeck Michael J, Rosenberg Aaron G, Berger Richard A, Silverton Craig D
New Mexico Center for Joint Replacement Surgery, New Mexico Orthopaedics, Albuquerque, USA.
J Am Acad Orthop Surg. 2003 May-Jun;11(3):163-73. doi: 10.5435/00124635-200305000-00003.
Once used routinely, trochanteric osteotomy in total hip arthroplasty now is usually limited to difficult primary and revision cases. There are three types: the standard trochanteric osteotomy and its variations, the trochanteric slide, and the extended trochanteric osteotomy. Each has unique indications, fixation techniques, and complications. Primary total hip arthroplasty procedures requiring the enhanced exposure provided by trochanteric osteotomy may be needed in patients with hip ankylosis or fusion, protrusio acetabuli, proximal femoral deformities, developmental dysplasia, or abductor muscle laxity. Trochanteric osteotomies in revision arthroplasties, primarily the extended trochanteric osteotomy, facilitate the removal of well-fixed femoral components, provide direct access to the diaphysis for distal fixation, and enhance acetabular exposure.
转子截骨术曾在全髋关节置换术中常规使用，如今通常仅限于复杂的初次置换和翻修病例。它有三种类型：标准转子截骨术及其变体、转子滑移截骨术和延长转子截骨术。每种类型都有独特的适应证、固定技术和并发症。对于髋关节强直或融合、髋臼内陷、股骨近端畸形、发育性髋关节发育不良或外展肌松弛的患者，初次全髋关节置换手术可能需要通过转子截骨术来提供更好的显露。翻修关节成形术中的转子截骨术，主要是延长转子截骨术，有助于取出固定良好的股骨假体，为远端固定提供直接进入骨干的通道，并增加髋臼的显露。
