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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Surgery 1/2015

Femoral neck osteotomy guide for total hip arthroplasty

BMC Surgery > Ausgabe 1/2015
Lei Yang, Zhanle Zheng, Wei Chen, Juan Wang, Yingze Zhang
Wichtige Hinweise
Lei Yang and Zhanle Zheng contributed equally to this work.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

YZ conceived the study. LY, ZZ, JW and WC were responsible for data management and statistical analyses. All authors were responsible for the interpretation of the data. LY wrote the report and all authors read and approved the final manuscript. LY and ZZ contributed equally to this article and are co-first authors. All authors read and approved the final manuscript.



Total hip arthroplasty (THA) is a common last-resort treatment for hip disease, but postoperative patients often complain of discrepancies in leg length. This study introduces a device designed to increase the precision of the femoral neck osteotomy and reduce the incidence of leg length discrepancy.


Forty-eight patients undergoing THA were divided into two groups, with and without the use of the femoral osteotomy guide. All operations were performed through a posterolateral approach. Differences in leg length were recorded before and after the operation. Measurements were also made to compare the preoperative plan with the actual amount of bone removed.


The mean average difference in femoral neck resection height was 0.84 mm when using the osteotomy guide and 1.69 mm without the guide. Discrepancies in postoperative leg length were 5.45 mm and 13.37 mm in the groups with and without the guide, respectively.


The femoral neck osteotomy guide is an effectively auxiliary tool for increasing the accuracy of bone resection in arthroplasty using the posterolateral approach.

Trial registration

ChiCTR-OOC-15005904; date: 2015-01-30
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