Corpus ID: 9915203

Primary hip arthroplasty through a limited posterior trochanteric osteotomy.

  title={Primary hip arthroplasty through a limited posterior trochanteric osteotomy.},
  author={J. Sanchez-Sotelo and J. Gipple and D. Berry and C. Rowland and Robert R. Cofield},
  journal={Acta orthopaedica Belgica},
  volume={71 5},
This study evaluates primary hip replacement performed using a modified posterior approach through a limited posterior trochanteric osteotomy bone block that includes the insertions of the posterior capsule and short external rotators--as this may enhance secure reattachment of the posterior soft-tissue envelope and protect against postoperative instability. Sixty-eight consecutive primary hip replacements performed through a posterior trochanteric osteotomy were prospectively followed. Two… Expand
Modified osteotomy of posterolateral overhanging part of the trochanter via posterior approach for hip arthroplasty: an anatomical study
A modified PLOP osteotomy approach was presented and a detailed study of the topographic and surgical anatomy of the PLOP was performed to suggest that the width of the upper side from the lateral to medial greater trochanter, depth of vertical osteotomy, and length of the posterior edge should be 4 cm. Expand
Posterior approach to the Hip Joint
The hip joint is one of the most surgically exposed joints in the body [1]. The posterior approach is known to have a slightly higher risk of dislocations [2], whilst the anterior [3] and lateralExpand
Modified Posterior Approach to the Hip Joint
The Modification offers greater visibility and decreased blood loss to the Hip Joint, there by conferring greater stability posteriorly as compared with the conventional Posterior Approach asExpand
Hueter’s Anterior Approach to the Hip Joint
The most significant progress all over the world in the evolution of total hip replacement is that the procedure can be done with less invasive techniques which allow the patient to recover and therefore mobilize early, to allow faster restoration of hip function. Expand


Experience with a modified posterior approach to the hip joint. A technical note.
  • J. Shaw
  • Medicine
  • The Journal of arthroplasty
  • 1991
A modified posterior approach to the hip joint is described with particular applicability to revision or complex primary hip arthroplasty, allowing for excellent exposure of the acetabulum and femoral canal, with minimal disruption of the gluteal muscle insertions. Expand
Enhanced soft tissue repair using locking loop stitch after posterior approach for hip hemiarthroplasty.
Enhanced soft tissue repair with locking loop stitch is an effective way to reduce the incidence of dislocation after hip hemiarthroplasty using the posterior approach. Expand
The effect of posterior capsulorrhaphy in primary total hip arthroplasty: a prospective randomized study.
Although the factors affecting dislocation in primary THA are many, a posterior capsulorrhaphy may be helpful in the prevention of posterior dislocation of primary ThA performed with a posterior approach. Expand
Heterotopic ossification following uncemented total hip arthroplasty. Effect of the operative approach.
The overall incidence of class III or IV HO was very low, indicating that uncemented total hip arthroplasty in itself is not predisposed to moderate or severe degrees of HO. Expand
Dislocation after total hip arthroplasty. Causes and prevention.
A technique of positioning the acetabulum by bony landmarks of the pelvis in the standing position was developed using a standing lateral preoperative roentgenogram with the X-ray tube centered over the trochanter to prevent impingement and dislocation. Expand
A prospective randomized comparison of two surgical approaches to total hip arthroplasty.
The ability to achieve adequate pain relief and function with THA is not affected by the type of approach, and postoperative hip scores for pain, function, and range of motion, presence of limp, and abductor muscle strength scores showed no significant difference between groups at six months and one year. Expand
Abductor avulsion after primary total hip arthroplasty. Results of repair.
The results of reoperation and repair of abductor musculature avulsion that occurred as a complication of a primary total hip arthroplasty performed through an anterolateral approach were reviewed, suggesting that the best indications for repair are symptoms of marked abductor weakness or hip instability. Expand
Influence of surgical approach on dislocations after Charnley hip arthroplasty.
Dislocations occurring in 3,199 Charnley total hip arthroplasties in two orthopaedic centers between 1979 and 1991 performed by either the transtrochanteric or posterior approach were studied. TheExpand
Posterior Approach to Total Hip Replacement Using Enhanced Posterior Soft Tissue Repair
The two senior authors (PMP, RP) independently began using an identical enhanced posterior soft tissue repair after total hip replacement through a posterior approach and found that a dislocation rate was reduced in patients before and after the enhanced closure. Expand
Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation.
  • W. Harris
  • Medicine
  • The Journal of bone and joint surgery. American volume
  • 1969
An end-result analysis is presented of thirty-nine mold arthroplasties performed at the Massachusetts General Hospital between 1945 and 1965 in thirty-eight consecutive private patients for arthritisExpand