Fulkerson J P, Crelin E S, Keggi K J
Arch Surg. 1979 Jan;114(1):19-21. doi: 10.1001/archsurg.1979.01370250021003.
Eleven human cadaver hips were dissected to define exactly the musculofascial anatomy of the greater trochanter and the supportive structures around it. A readily identifiable plane was defined that permitted osteotomy of the greater trochanter from an anterior approach leaving the vastus lateralis attached to it so that the trochanter could be folded posteriorly and then replaced securely. The osteotomy has been used in difficult total hip replacements at Waterbury (Conn) Hospital and found to be very satisfactory with no wire or bolt fixation necessary to maintain trochanter stability after surgery. Until a large series of these osteotomies has been reviewed, however, additional fixation may be advisable.
解剖了11具人类尸体髋关节，以精确界定大转子及其周围支持结构的肌筋膜解剖结构。确定了一个易于识别的平面，允许从前路对大转子进行截骨，同时保留附着于其上的股外侧肌，这样大转子就可以向后折叠，然后牢固复位。这种截骨术已在康涅狄格州沃特伯里医院用于复杂的全髋关节置换手术，结果非常令人满意，术后无需钢丝或螺栓固定来维持大转子的稳定性。然而，在对大量此类截骨术进行回顾之前，额外的固定可能是可取的。
