Anterior greater trochanteric muscle pedicle bone grafting: a viable graft option adjunct to hip osteotomy or fracture surgery

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Noppachart LimpaphayomPairatch Prasongchin

Abstract

The objectives were to evaluate a technique, outcome and complications following anterior greater trochanteric with gluteus medius muscle pedicle bone graft (AMG) procedure in the treatment of adolescent and active adult hip disorders. 20 patients (20 hips) with a mean age of 22.7 ± 15.6 (range 10.0-63.5) years who had undergone AMG and been followed up more than 12 months postoperative were retrospectively enrolled in our study. The AMG procedure was performed in conjunction with subcapital osteotomy for slipped capital femoral epiphysis in 12 and open reduction for fracture/dislocation in 8 hips. At the most recent evaluation, patient functional status was rated by the Harris Hip Score (HHS) and radiographic changes were graded according to Tönnis criteria. Complications were defined as Tönnis grade >2 or hip requiring further surgery. Univariate analysis was used to explore factors associated with complications. Spearman's rank correlation coefficient was calculated between HHS and Tönnis grading. At mean follow-up of 4.4 ± 2.6 (range 1.1-9.5) years, mean HHS was 87.4. Tönnis grading was rated as 0 in 10 hips, 1 in 5 hips, 2 in 2 hips, and 3 in 3 hips. Avascular necrosis of the femoral head as a complication developed in 3 h...Continue Reading

References

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May 23, 2015·Clinical Orthopaedics and Related Research·Alessandro MassèReinhold Ganz

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Citations

Jul 15, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Harun Yasin TüzünMustafa Kürklü
Feb 4, 2021·Journal of Materials Chemistry. B, Materials for Biology and Medicine·Man LuoXiaofeng Chen

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total hip arthroplasty

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