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Erschienen in: Current Reviews in Musculoskeletal Medicine 4/2014

01.12.2014 | Modern Techniques in Lower Limb Realignment (DE Bonasia and P Phisitkul, Section Editors)

Do osteotomies of the proximal femur still have a role?

verfasst von: Alessandro Aprato, Pietro Pellegrino, Michael S. H. Kain, Alessandro Masse

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 4/2014

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Abstract

Trochanteric valgus and varus correction osteotomies have been described with or without associated rotational correction. In the last decade, new techniques have been described, including femoral neck osteotomy, femoral head reorientation, relative neck lengthening, greater or lesser trochanter distalization, and femoral head reduction osteotomy. While the overall number of femoral osteotomies in the young patients has decreased because of the efficacy of primary total hip arthroplasties, those osteotomy techniques may expand the indications for femoral osteotomies in select patients who meet the indications.
Literatur
1.
Zurück zum Zitat Turgeon TR, Phillips W, Kantor SR, Santore RF. The role of acetabular and femoral osteotomies in reconstructive surgery of the hip: 2005 and beyond. Clin Orthop. 2005;441:188–99.PubMedCrossRef Turgeon TR, Phillips W, Kantor SR, Santore RF. The role of acetabular and femoral osteotomies in reconstructive surgery of the hip: 2005 and beyond. Clin Orthop. 2005;441:188–99.PubMedCrossRef
2.
Zurück zum Zitat Turchetto L, Massè A, Aprato A, Barbuio A, Ganz R, Turchetto L, et al. Developmental dysplasia of hip: joint preserving surgeon in the adolescent and young adult. Minerva Ortopedica e Traumatol. 2013;64:41–52. Turchetto L, Massè A, Aprato A, Barbuio A, Ganz R, Turchetto L, et al. Developmental dysplasia of hip: joint preserving surgeon in the adolescent and young adult. Minerva Ortopedica e Traumatol. 2013;64:41–52.
3.
Zurück zum Zitat Mubarak SJ, Valencia FG, Wenger DR. One-stage correction of the spastic dislocated hip. Use of pericapsular acetabuloplasty to improve coverage. J Bone Joint Surg Am. 1992;74:1347–57.PubMed Mubarak SJ, Valencia FG, Wenger DR. One-stage correction of the spastic dislocated hip. Use of pericapsular acetabuloplasty to improve coverage. J Bone Joint Surg Am. 1992;74:1347–57.PubMed
4.
Zurück zum Zitat Pogliacomi F, De Filippo M, Costantino C, Wallensten R, Soncini G. 2006: the value of pelvic and femoral osteotomies in hip surgery. Acta Bio-Med Atenei Parm. 2007;78:60–70. Pogliacomi F, De Filippo M, Costantino C, Wallensten R, Soncini G. 2006: the value of pelvic and femoral osteotomies in hip surgery. Acta Bio-Med Atenei Parm. 2007;78:60–70.
5.
Zurück zum Zitat Millis MB, Murphy SB, Poss R. Osteotomies about the hip for the prevention and treatment of osteoarthrosis. Instr Course Lect. 1996;45:209–26.PubMed Millis MB, Murphy SB, Poss R. Osteotomies about the hip for the prevention and treatment of osteoarthrosis. Instr Course Lect. 1996;45:209–26.PubMed
6.
Zurück zum Zitat Ferguson GM, Cabanela ME, Ilstrup DM. Total hip arthroplasty after failed intertrochanteric osteotomy. J Bone Joint Surg (Br). 1994;76:252–7. Ferguson GM, Cabanela ME, Ilstrup DM. Total hip arthroplasty after failed intertrochanteric osteotomy. J Bone Joint Surg (Br). 1994;76:252–7.
7.
Zurück zum Zitat Maistrelli GL, Gerundini M, Fusco U, Bombelli R, Bombelli M, Avai A. Valgus-extension osteotomy for osteoarthritis of the hip. Indications and long-term results. J Bone Joint Surg (Br). 1990;72:653–7. Maistrelli GL, Gerundini M, Fusco U, Bombelli R, Bombelli M, Avai A. Valgus-extension osteotomy for osteoarthritis of the hip. Indications and long-term results. J Bone Joint Surg (Br). 1990;72:653–7.
8.
Zurück zum Zitat Santore R, Bombelli M. Long-term follow-up of the Bombelli experience with osteotomy for osteoarthritis: results at 11 years. In Hungerford DS, editor. The Hip: Proceedings of the Eleventh Open Scientific Meeting of the Hip Society, St. Louis: Mosby; 1983. p. 106–28. Santore R, Bombelli M. Long-term follow-up of the Bombelli experience with osteotomy for osteoarthritis: results at 11 years. In Hungerford DS, editor. The Hip: Proceedings of the Eleventh Open Scientific Meeting of the Hip Society, St. Louis: Mosby; 1983. p. 106–28.
9.•
Zurück zum Zitat Louahem M’sabah D, Assi C, Cottalorda J. Proximal femoral osteotomies in children. Orthop Traumatol Surg Res. 2013;99:S171–86. This paper shows a complete description of surgical techniques about varus and valgus osteotomies. PubMedCrossRef Louahem M’sabah D, Assi C, Cottalorda J. Proximal femoral osteotomies in children. Orthop Traumatol Surg Res. 2013;99:S171–86. This paper shows a complete description of surgical techniques about varus and valgus osteotomies. PubMedCrossRef
10.
Zurück zum Zitat Morscher E. Intertrochanteric osteotomy in osteoarthritis of the hip. In: Riley L, editor. The hip: proceedings of the Eighth Open Scientific Meeting of the Hip Society. St. Louis: Mosby; 1980. p. 24–46. Morscher E. Intertrochanteric osteotomy in osteoarthritis of the hip. In: Riley L, editor. The hip: proceedings of the Eighth Open Scientific Meeting of the Hip Society. St. Louis: Mosby; 1980. p. 24–46.
11.
Zurück zum Zitat Iwase T, Hasegawa Y, Kawamoto K, Iwasada S, Yamada K, Iwata H. Twenty years’ follow-up of intertrochanteric osteotomy for treatment of the dysplastic hip. Clin Orthop. 1996;331:245–55.PubMedCrossRef Iwase T, Hasegawa Y, Kawamoto K, Iwasada S, Yamada K, Iwata H. Twenty years’ follow-up of intertrochanteric osteotomy for treatment of the dysplastic hip. Clin Orthop. 1996;331:245–55.PubMedCrossRef
12.
Zurück zum Zitat Dorr LD, Takei GK, Conaty JP. Total hip arthroplasties in patients less than forty-five years old. J Bone Joint Surg Am. 1983;65:474–9.PubMed Dorr LD, Takei GK, Conaty JP. Total hip arthroplasties in patients less than forty-five years old. J Bone Joint Surg Am. 1983;65:474–9.PubMed
13.
Zurück zum Zitat Santore RF, Kantor SR. Intertrochanteric femoral osteotomies for developmental and posttraumatic conditions. J Bone Jt Surg. 2004;86:2542–53. Santore RF, Kantor SR. Intertrochanteric femoral osteotomies for developmental and posttraumatic conditions. J Bone Jt Surg. 2004;86:2542–53.
14.
Zurück zum Zitat Schoenfeld AJ, Vrabec GA. Valgus osteotomy of the proximal femur with sliding hip screw for the treatment of femoral neck nonunions: the technique, a case series, and literature review. J Orthop Trauma. 2006;20:485–91.PubMedCrossRef Schoenfeld AJ, Vrabec GA. Valgus osteotomy of the proximal femur with sliding hip screw for the treatment of femoral neck nonunions: the technique, a case series, and literature review. J Orthop Trauma. 2006;20:485–91.PubMedCrossRef
15.
Zurück zum Zitat Pauwels F. Osteoarthritis. In: Biomechanics of the normal and diseased hip: theoretical foundation, technique and results of treatment: an atlas. New York: Springer; 1976. p. 129–271. Pauwels F. Osteoarthritis. In: Biomechanics of the normal and diseased hip: theoretical foundation, technique and results of treatment: an atlas. New York: Springer; 1976. p. 129–271.
16.
Zurück zum Zitat Blount WP. Proximal osteotomies of the femur. Instr Course Lect. Sept 1, 1952. Blount WP. Proximal osteotomies of the femur. Instr Course Lect. Sept 1, 1952.
17.
Zurück zum Zitat Santore RF. Intertrochanteric osteotomy for osteonecrosis. Semin Arthroplast. 1991;2:208–13. Santore RF. Intertrochanteric osteotomy for osteonecrosis. Semin Arthroplast. 1991;2:208–13.
18.
Zurück zum Zitat Marti RK, Schüller HM, Raaymakers EL. Intertrochanteric osteotomy for non-union of the femoral neck. J Bone Joint Surg (Br). 1989;71:782–7. Marti RK, Schüller HM, Raaymakers EL. Intertrochanteric osteotomy for non-union of the femoral neck. J Bone Joint Surg (Br). 1989;71:782–7.
19.
Zurück zum Zitat Weber B, Cech O. Pseudoarthrosis. Bern: Hans Huber; 1976. Weber B, Cech O. Pseudoarthrosis. Bern: Hans Huber; 1976.
20.
Zurück zum Zitat Boos N, Krushell R, Ganz R, Müller ME. Total hip arthroplasty after previous proximal femoral osteotomy. J Bone Joint Surg (Br). 1997;79:247–53.CrossRef Boos N, Krushell R, Ganz R, Müller ME. Total hip arthroplasty after previous proximal femoral osteotomy. J Bone Joint Surg (Br). 1997;79:247–53.CrossRef
21.
Zurück zum Zitat Ganz R, Gill TJ, Gautier E, Ganz K, Krügel N, Berlemann U. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg (Br). 2001;83:1119–24.CrossRef Ganz R, Gill TJ, Gautier E, Ganz K, Krügel N, Berlemann U. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg (Br). 2001;83:1119–24.CrossRef
22.
Zurück zum Zitat Rebello G, Spencer S, Millis MB, Kim Y-J. Surgical dislocation in the management of pediatric and adolescent hip deformity. Clin Orthop. 2009;467:724–31.PubMedCrossRefPubMedCentral Rebello G, Spencer S, Millis MB, Kim Y-J. Surgical dislocation in the management of pediatric and adolescent hip deformity. Clin Orthop. 2009;467:724–31.PubMedCrossRefPubMedCentral
23.
Zurück zum Zitat Spencer S, Millis MB, Kim Y-J. Early results of treatment of hip impingement syndrome in slipped capital femoral epiphysis and pistol grip deformity of the femoral head-neck junction using the surgical dislocation technique. J Pediatr Orthop. 2006;26:281–5.PubMedCrossRef Spencer S, Millis MB, Kim Y-J. Early results of treatment of hip impingement syndrome in slipped capital femoral epiphysis and pistol grip deformity of the femoral head-neck junction using the surgical dislocation technique. J Pediatr Orthop. 2006;26:281–5.PubMedCrossRef
24.
Zurück zum Zitat Leunig M, Slongo T, Kleinschmidt M, Ganz R. Subcapital correction osteotomy in slipped capital femoral epiphysis by means of surgical hip dislocation. Oper Orthop Traumatol. 2007;19:389–410.PubMedCrossRef Leunig M, Slongo T, Kleinschmidt M, Ganz R. Subcapital correction osteotomy in slipped capital femoral epiphysis by means of surgical hip dislocation. Oper Orthop Traumatol. 2007;19:389–410.PubMedCrossRef
25.
Zurück zum Zitat Ziebarth K, Zilkens C, Spencer S, Leunig M, Ganz R, Kim Y-J. Capital realignment for moderate and severe SCFE using a modified Dunn procedure. Clin Orthop. 2009;467:704–16.PubMedCrossRefPubMedCentral Ziebarth K, Zilkens C, Spencer S, Leunig M, Ganz R, Kim Y-J. Capital realignment for moderate and severe SCFE using a modified Dunn procedure. Clin Orthop. 2009;467:704–16.PubMedCrossRefPubMedCentral
26.
Zurück zum Zitat Massè A, Aprato A, Grappiolo G, Turchetto L, Campacci A, Ganz R. Surgical hip dislocation for anatomic reorientation of slipped capital femoral epiphysis: preliminary results. Hip Int J Clin Exp Res Hip Pathol Ther. 2012;22:137–44. Massè A, Aprato A, Grappiolo G, Turchetto L, Campacci A, Ganz R. Surgical hip dislocation for anatomic reorientation of slipped capital femoral epiphysis: preliminary results. Hip Int J Clin Exp Res Hip Pathol Ther. 2012;22:137–44.
27.
Zurück zum Zitat Slongo T, Kakaty D, Krause F, Ziebarth K. Treatment of slipped capital femoral epiphysis with a modified Dunn procedure. J Bone Joint Surg Am. 2010;92:2898–908.PubMedCrossRef Slongo T, Kakaty D, Krause F, Ziebarth K. Treatment of slipped capital femoral epiphysis with a modified Dunn procedure. J Bone Joint Surg Am. 2010;92:2898–908.PubMedCrossRef
28.
Zurück zum Zitat Huber H, Dora C, Ramseier LE, Buck F, Dierauer S. Adolescent slipped capital femoral epiphysis treated by a modified Dunn osteotomy with surgical hip dislocation. J Bone Joint Surg (Br). 2011;93:833–8.CrossRef Huber H, Dora C, Ramseier LE, Buck F, Dierauer S. Adolescent slipped capital femoral epiphysis treated by a modified Dunn osteotomy with surgical hip dislocation. J Bone Joint Surg (Br). 2011;93:833–8.CrossRef
29.
Zurück zum Zitat Loder RT, Richards BS, Shapiro PS, Reznick LR, Aronson DD. Acute slipped capital femoral epiphysis: the importance of physeal stability. J Bone Joint Surg Am. 1993;75:1134–40.PubMed Loder RT, Richards BS, Shapiro PS, Reznick LR, Aronson DD. Acute slipped capital femoral epiphysis: the importance of physeal stability. J Bone Joint Surg Am. 1993;75:1134–40.PubMed
30.•
Zurück zum Zitat Ganz R, Horowitz K, Leunig M. Algorithm for femoral and periacetabular osteotomies in complex hip deformities. Clin Orthop Relat Res. 2010;468:3168–80. This paper shows a good algorithm for treatment of difficult-to-treat deformities and includes the most important case series in FNO. PubMedCrossRefPubMedCentral Ganz R, Horowitz K, Leunig M. Algorithm for femoral and periacetabular osteotomies in complex hip deformities. Clin Orthop Relat Res. 2010;468:3168–80. This paper shows a good algorithm for treatment of difficult-to-treat deformities and includes the most important case series in FNO. PubMedCrossRefPubMedCentral
31.
Zurück zum Zitat Garcia FL, Picado CHF, Cardinali LP. Does trochanteric transfer eliminate the Trendelenburg sign in adults? Clin Orthop Relat Res. 2011;469:1984–90.PubMedCrossRefPubMedCentral Garcia FL, Picado CHF, Cardinali LP. Does trochanteric transfer eliminate the Trendelenburg sign in adults? Clin Orthop Relat Res. 2011;469:1984–90.PubMedCrossRefPubMedCentral
32.
Zurück zum Zitat Kelikian AS, Tachdjian MO, Askew MJ, Jasty M. Greater trochanteric advancement of the proximal femur: a clinical and biomechanical study. Hip. 1983;77–105. Kelikian AS, Tachdjian MO, Askew MJ, Jasty M. Greater trochanteric advancement of the proximal femur: a clinical and biomechanical study. Hip. 1983;77–105.
33.
Zurück zum Zitat Leunig M, Ganz R. Relative neck lengthening and intracapital osteotomy for severe Perthes and Perthes-like deformities. Bull NYU Hosp Jt Dis. 2011;69 Suppl 1:S62–7.PubMed Leunig M, Ganz R. Relative neck lengthening and intracapital osteotomy for severe Perthes and Perthes-like deformities. Bull NYU Hosp Jt Dis. 2011;69 Suppl 1:S62–7.PubMed
34.
Zurück zum Zitat Takata K, Maniwa S, Ochi M. Surgical treatment of high-standing greater trochanter. Arch Orthop Trauma Surg. 1999;119:461–3.PubMedCrossRef Takata K, Maniwa S, Ochi M. Surgical treatment of high-standing greater trochanter. Arch Orthop Trauma Surg. 1999;119:461–3.PubMedCrossRef
35.
Zurück zum Zitat Maquet PGJ. Lateral displacement of the greater trochanter. In: Biomechanics of the hip: as applied to Osteoarthritis and related conditions. New York: Springer; 1985. p. 134–49.CrossRef Maquet PGJ. Lateral displacement of the greater trochanter. In: Biomechanics of the hip: as applied to Osteoarthritis and related conditions. New York: Springer; 1985. p. 134–49.CrossRef
36.
Zurück zum Zitat Wagner H. Transplantation of the greater trochanter. In: Weil UH, editor. Acetabular dysplasia: skeletal dysplasias in childhood. Berlin: Springer; 1978. p. 99–102. Wagner H. Transplantation of the greater trochanter. In: Weil UH, editor. Acetabular dysplasia: skeletal dysplasias in childhood. Berlin: Springer; 1978. p. 99–102.
37.
Zurück zum Zitat Joo SY, Lee KS, Koh IH, Park HW, Kim HW. Trochanteric advancement in patients with Legg-Calvé-Perthes disease does not improve pain or limp. Clin Orthop. 2008;466:927–34.PubMedCrossRefPubMedCentral Joo SY, Lee KS, Koh IH, Park HW, Kim HW. Trochanteric advancement in patients with Legg-Calvé-Perthes disease does not improve pain or limp. Clin Orthop. 2008;466:927–34.PubMedCrossRefPubMedCentral
38.
Zurück zum Zitat Torriani M, Souto SCL, Thomas BJ, Ouellette H, Bredella MA. Ischiofemoral impingement syndrome: an entity with hip pain and abnormalities of the quadratus femoris muscle. Am J Roentgenol. 2009;193:186–90.CrossRef Torriani M, Souto SCL, Thomas BJ, Ouellette H, Bredella MA. Ischiofemoral impingement syndrome: an entity with hip pain and abnormalities of the quadratus femoris muscle. Am J Roentgenol. 2009;193:186–90.CrossRef
39.
Zurück zum Zitat Johnson KA. Impingement of the lesser trochanter on the ischial ramus after total hip arthroplasty. Report of three cases. J Bone Joint Surg Am. 1977;59:268–9.PubMed Johnson KA. Impingement of the lesser trochanter on the ischial ramus after total hip arthroplasty. Report of three cases. J Bone Joint Surg Am. 1977;59:268–9.PubMed
40.
Zurück zum Zitat Tosun O, Algin O, Yalcin N, Cay N, Ocakoglu G, Karaoglanoglu M. Ischiofemoral impingement: evaluation with new MRI parameters and assessment of their reliability. Skelet Radiol. 2012;41:575–87.CrossRef Tosun O, Algin O, Yalcin N, Cay N, Ocakoglu G, Karaoglanoglu M. Ischiofemoral impingement: evaluation with new MRI parameters and assessment of their reliability. Skelet Radiol. 2012;41:575–87.CrossRef
41.
Zurück zum Zitat Patti JW, Ouellette H, Bredella MA, Torriani M. Impingement of lesser trochanter on ischium as a potential cause for hip pain. Skelet Radiol. 2008;37:939–41.CrossRef Patti JW, Ouellette H, Bredella MA, Torriani M. Impingement of lesser trochanter on ischium as a potential cause for hip pain. Skelet Radiol. 2008;37:939–41.CrossRef
42.
Zurück zum Zitat Stafford GH, Villar RN. Ischiofemoral impingement. J Bone Joint Surg (Br). 2011;93:1300–2.CrossRef Stafford GH, Villar RN. Ischiofemoral impingement. J Bone Joint Surg (Br). 2011;93:1300–2.CrossRef
43.
Zurück zum Zitat Ali AM, Whitwell D, Ostlere SJ. Case report: imaging and surgical treatment of a snapping hip due to ischiofemoral impingement. Skelet Radiol. 2011;40:653–6.CrossRef Ali AM, Whitwell D, Ostlere SJ. Case report: imaging and surgical treatment of a snapping hip due to ischiofemoral impingement. Skelet Radiol. 2011;40:653–6.CrossRef
44.•
Zurück zum Zitat Safran M, Ryu J. Ischiofemoral impingement of the hip: a novel approach to treatment. Knee Surg Sports Traumatol Arthrosc. 2014;22:781–5. This paper shows an innovative way to treat a rare pathology such as ischiofemoral impingement. PubMedCrossRef Safran M, Ryu J. Ischiofemoral impingement of the hip: a novel approach to treatment. Knee Surg Sports Traumatol Arthrosc. 2014;22:781–5. This paper shows an innovative way to treat a rare pathology such as ischiofemoral impingement. PubMedCrossRef
45.
Zurück zum Zitat Stulberg SD, Cooperman DR, Wallensten R. The natural history of Legg-Calvé-Perthes disease. J Bone Joint Surg Am. 1981;63:1095–108.PubMed Stulberg SD, Cooperman DR, Wallensten R. The natural history of Legg-Calvé-Perthes disease. J Bone Joint Surg Am. 1981;63:1095–108.PubMed
46.
Zurück zum Zitat McElwain JP, Regan BF, Dowling F, Fogarty E. Derotation varus osteotomy in Perthes disease. J Pediatr Orthop. 1985;5:195–8.PubMedCrossRef McElwain JP, Regan BF, Dowling F, Fogarty E. Derotation varus osteotomy in Perthes disease. J Pediatr Orthop. 1985;5:195–8.PubMedCrossRef
47.
Zurück zum Zitat Saran N, Varghese R, Mulpuri K. Do femoral or salter innominate osteotomies improve femoral head sphericity in Legg-Calvé-Perthes disease? A meta-analysis. Clin Orthop Relat Res. 2012;470:2383–93.PubMedCrossRefPubMedCentral Saran N, Varghese R, Mulpuri K. Do femoral or salter innominate osteotomies improve femoral head sphericity in Legg-Calvé-Perthes disease? A meta-analysis. Clin Orthop Relat Res. 2012;470:2383–93.PubMedCrossRefPubMedCentral
Metadaten
Titel
Do osteotomies of the proximal femur still have a role?
verfasst von
Alessandro Aprato
Pietro Pellegrino
Michael S. H. Kain
Alessandro Masse
Publikationsdatum
01.12.2014
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 4/2014
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-014-9239-6

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