Oblique femoral osteotomy in cementless total hip arthroplasty

Prospective consecutive series with a 3-year minimum follow-up period

M. H. Huo, L. E. Zatorski, K. J. Keggi

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Success of total hip arthroplasty using cementless implants is dependent on intimate contact of the prostheses with viable host-bone and achievement of optimal fit and rigid implant fixation. A technique of oblique femoral osteotomy has been used to correct proximal femoral deformity and to facilitate difficult revision surgery in selected cases. This prospective study included 26 osteotomies performed in 25 consecutive patients with a minimum follow-up period of 3 years. The median follow-up period was 50 months. Eighty-four percent of the reconstructions remained in situ at the final follow-up examination, with 81% of them rated clinically excellent or good. Three stems were revised for aseptic loosening at a mean interval of 46 months. One additional femoral revision was necessary for nonunion of the osteotomy. Two of the remaining stems were classified as radiographically loose. Although oblique femoral osteotomy serves as a useful adjunct surgical technique in difficult femoral reconstructions, nearly 25% of the hips in this study either failed or were loose at the medium-term follow-up examination. Long-term success of this technique with cementless prostheses remains to be defined.

Original languageEnglish (US)
Pages (from-to)319-327
Number of pages9
JournalJournal of Arthroplasty
Volume10
Issue number3
StatePublished - 1995

Fingerprint

Osteotomy
Thigh
Arthroplasty
Hip
Prostheses and Implants
Reoperation
Prospective Studies
Bone and Bones

Keywords

  • cementless implants
  • oblique femoral osteotomy
  • total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Oblique femoral osteotomy in cementless total hip arthroplasty : Prospective consecutive series with a 3-year minimum follow-up period. / Huo, M. H.; Zatorski, L. E.; Keggi, K. J.

In: Journal of Arthroplasty, Vol. 10, No. 3, 1995, p. 319-327.

Research output: Contribution to journalArticle

@article{6b6e42416f65486a8399b5b77f89939f,
title = "Oblique femoral osteotomy in cementless total hip arthroplasty: Prospective consecutive series with a 3-year minimum follow-up period",
abstract = "Success of total hip arthroplasty using cementless implants is dependent on intimate contact of the prostheses with viable host-bone and achievement of optimal fit and rigid implant fixation. A technique of oblique femoral osteotomy has been used to correct proximal femoral deformity and to facilitate difficult revision surgery in selected cases. This prospective study included 26 osteotomies performed in 25 consecutive patients with a minimum follow-up period of 3 years. The median follow-up period was 50 months. Eighty-four percent of the reconstructions remained in situ at the final follow-up examination, with 81{\%} of them rated clinically excellent or good. Three stems were revised for aseptic loosening at a mean interval of 46 months. One additional femoral revision was necessary for nonunion of the osteotomy. Two of the remaining stems were classified as radiographically loose. Although oblique femoral osteotomy serves as a useful adjunct surgical technique in difficult femoral reconstructions, nearly 25{\%} of the hips in this study either failed or were loose at the medium-term follow-up examination. Long-term success of this technique with cementless prostheses remains to be defined.",
keywords = "cementless implants, oblique femoral osteotomy, total hip arthroplasty",
author = "Huo, {M. H.} and Zatorski, {L. E.} and Keggi, {K. J.}",
year = "1995",
language = "English (US)",
volume = "10",
pages = "319--327",
journal = "Journal of Arthroplasty",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "3",

}

TY - JOUR

T1 - Oblique femoral osteotomy in cementless total hip arthroplasty

T2 - Prospective consecutive series with a 3-year minimum follow-up period

AU - Huo, M. H.

AU - Zatorski, L. E.

AU - Keggi, K. J.

PY - 1995

Y1 - 1995

N2 - Success of total hip arthroplasty using cementless implants is dependent on intimate contact of the prostheses with viable host-bone and achievement of optimal fit and rigid implant fixation. A technique of oblique femoral osteotomy has been used to correct proximal femoral deformity and to facilitate difficult revision surgery in selected cases. This prospective study included 26 osteotomies performed in 25 consecutive patients with a minimum follow-up period of 3 years. The median follow-up period was 50 months. Eighty-four percent of the reconstructions remained in situ at the final follow-up examination, with 81% of them rated clinically excellent or good. Three stems were revised for aseptic loosening at a mean interval of 46 months. One additional femoral revision was necessary for nonunion of the osteotomy. Two of the remaining stems were classified as radiographically loose. Although oblique femoral osteotomy serves as a useful adjunct surgical technique in difficult femoral reconstructions, nearly 25% of the hips in this study either failed or were loose at the medium-term follow-up examination. Long-term success of this technique with cementless prostheses remains to be defined.

AB - Success of total hip arthroplasty using cementless implants is dependent on intimate contact of the prostheses with viable host-bone and achievement of optimal fit and rigid implant fixation. A technique of oblique femoral osteotomy has been used to correct proximal femoral deformity and to facilitate difficult revision surgery in selected cases. This prospective study included 26 osteotomies performed in 25 consecutive patients with a minimum follow-up period of 3 years. The median follow-up period was 50 months. Eighty-four percent of the reconstructions remained in situ at the final follow-up examination, with 81% of them rated clinically excellent or good. Three stems were revised for aseptic loosening at a mean interval of 46 months. One additional femoral revision was necessary for nonunion of the osteotomy. Two of the remaining stems were classified as radiographically loose. Although oblique femoral osteotomy serves as a useful adjunct surgical technique in difficult femoral reconstructions, nearly 25% of the hips in this study either failed or were loose at the medium-term follow-up examination. Long-term success of this technique with cementless prostheses remains to be defined.

KW - cementless implants

KW - oblique femoral osteotomy

KW - total hip arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=0029014367&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029014367&partnerID=8YFLogxK

M3 - Article

VL - 10

SP - 319

EP - 327

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

SN - 0883-5403

IS - 3

ER -