Midterm results of trochanteric flip osteotomy technique for management of fractures around the hip

Trikha, Vivek and Das, Saubhik and Madegowda, Arkesh and Agrawal, Prabhat (2017) Midterm results of trochanteric flip osteotomy technique for management of fractures around the hip. HIP International, 28 (2). pp. 148-155. ISSN 11207000

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Abstract

surgical hip dislocation technique in selected displaced acetabular and femoral head fractures with clinico-radiological outcome and potential complications. Materials and methods: We retrospectively reviewed 32 patients from January 2009 to June 2014. Selected displaced acetabular fractures with comminution and/or cranial extension of posterior wall, marginal impaction, intraarticular fragment, femoral head fractures and hip fracture-dislocations were operated by this modified approach of trochanteric flip osteotomy and surgical hip dislocation. Patients were evaluated for fracture reduction, femoral head viability, trochanteric union, abduction power, and functional evaluation was done by Merle d’Aubigné-Postel scoring system. Minimum follow-up was 24 months. Results: Reduction was judged to be anatomical in 84.38% of cases, and within 1-3 millimetres in 9.38% of cases. All osteotomies healed in an anatomical position. Heterotopic ossification was found in 2 patients limited to Brooker class I. Osteonecrosis developed in 1 patient. 2 patients developed arthritis of the hip as sequelae of poor reduction. Abduction power was MRC 5/5 in all except in 1 patient (4/5). Mean d’Aubigné-Postel score was 16.18; overall good to excellent result was achieved in 87.5% of cases. Conclusions: Trochanteric flip osteotomy with surgical dislocation allows better intraarticular assessment, control of intraarticular fragments, assists accurate reduction and the fixation of complex acetabular and femoral head fractures, without compromising femoral head vascularity and abductor strength. This technique has provided excellent midterm results in the management of complex injuries around the hip.

Item Type: Article
Uncontrolled Keywords: Acetabular fracture, Femoral head fracture, Functional outcome, surgical hip dislocation, Trochanteric flip osteotomy
Subjects: Medicine > KMC Mangalore > Orthopaedics
Depositing User: KMCMLR User
Date Deposited: 18 Sep 2018 07:12
Last Modified: 18 Sep 2018 07:12
URI: http://eprints.manipal.edu/id/eprint/152005

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