大转子延长截骨术：改善翻修全髋关节置换术的手术入路并降低风险
Extended trochanteric osteotomy: improving the access and reducing the risk in revision THA.
作者信息
Wronka Konrad Sebastian, Gerard-Wilson Michell, Peel Elizabeth, Rolfson Ola, Cnudde Peter Herman Johan
机构信息
Department Of Orthopaedics, Prince Philip Hospital, Hywel Dda University Healthboard, Llanelli, UK.
Department Of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
出版信息
EFORT Open Rev. 2020 Feb 26;5(2):104-112. doi: 10.1302/2058-5241.5.190005. eCollection 2020 Feb.
This review article presents a comprehensive literature review regarding extended trochanteric osteotomy (ETO).The history, rationale, biomechanical considerations as well as indications are discussed.The outcomes and complications as reported in the literature are presented, discussed and compared with our own practice.Based on the available evidence, we present our preferred technique for performing ETO, its fixation, as well as post-operative rehabilitation.The ETO aids implant removal and enhanced access. Reported union rate of ETO is high. The complications related to ETO are much less frequent than in cases when accidental intra-operative femoral fracture occurred that required fixation.Based on the literature and our own experience we recommend ETO as a useful adjunct in the arsenal of the revision hip specialist. Cite this article: 2020;5:104-112. DOI: 10.1302/2058-5241.5.190005.
这篇综述文章对大转子延长截骨术（ETO）进行了全面的文献综述。讨论了其历史、原理、生物力学考量以及适应症。呈现并讨论了文献中报道的结果和并发症，并与我们自己的实践进行了比较。基于现有证据，我们介绍了进行ETO的首选技术、其固定方法以及术后康复。ETO有助于取出植入物并增加手术入路。报道的ETO愈合率很高。与ETO相关的并发症比术中意外发生股骨骨折需要固定的情况要少得多。基于文献和我们自己的经验，我们推荐ETO作为髋关节翻修专家的有用辅助手段。引用本文：2020；5：104 - 112。DOI：10.1302/2058 - 5241.5.190005。
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