Arch Orthop Trauma Surg. 1996;115(2):80-4.

Clinical results of rotational osteotomy for treatment of avascular necrosis of the femoral head.

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Department of Orthopaedic Surgery, University Hospital of Freiburg, Germany.

Abstract

We reviewed the results of seven transtrochanteric rotational osteotomies done for painful avascular necrosis of the femoral head. The results tended to deteriorate over the time. Despite the overall unsatisfactory results at final follow-up, the procedure was valuable as it delayed the necessity for total hip arthroplasty. Six patients underwent total hip arthroplasty an average of 6.7 years following the osteotomy. The procedure is technically difficult and is associated with a high risk of late complications, mainly progressive collapse, further necrosis and increased osteoarthritic changes.

PMID:: 9063857; [PubMed - indexed for MEDLINE]

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[Transtrochanteric rotation osteotomies for osteonecrosis of the femoral head. Apropos of 20 cases]. [Rev Chir Orthop Reparatrice Ap...]
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Cited by 2 PubMed Central articles

Case report: Fresh-stored osteochondral allograft for treatment of osteochondritis dissecans the femoral head. [Clin Orthop Relat Res. 2010]
Case report: Fresh-stored osteochondral allograft for treatment of osteochondritis dissecans the femoral head.
Evans KN, Providence BC. Clin Orthop Relat Res. 2010 Feb; 468(2):613-8. Epub 2009 Sep 2.
Transtrochanteric rotational osteotomy for nontraumatic osteonecrosis of the femoral head in young adults. [Clin Orthop Relat Res. 2009]
Transtrochanteric rotational osteotomy for nontraumatic osteonecrosis of the femoral head in young adults.
Biswal S, Hazra S, Yun HH, Hur CY, Shon WY. Clin Orthop Relat Res. 2009 Jun; 467(6):1529-37. Epub 2009 Jan 14.

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