técnica de remoção do componente femoral da prótese utilizando a osteotomia trocantérica estendida
Keywords:
Hip Prosthesis, Osteotomy, Prosthesis-Related lnfections/surgery, Arthroplasty, Replacement, HipAbstract
The increasing number of hip arthroplasties has required greater knowledge of techniques which allow effective removal of prosthetic components when a revision surgery is necessary. ln particular for cases of periprosthetic infection, when the thorough cleaning of the medullary canal is fundamental to the eradication of the disease, often a greater exposure of the femoral canal is needed. On these occasions, the extended trochanteric osteotomy, a reproducible and relatively simple technique, is possible to be performed. ln this article, we describe the surgical technique of extended trochanteric osteotomy and we report the first step of a patient with infected hybrid prosthesis treated with revision in two stages.
Downloads
References
Agency for healthcare research and quality. Healthcare cost and utilization project (HCUPnet). AHRQ: Rockville, MD; 2013. Available from: http://www.ahrq.gov/research/data/hcup/index.html
Korim MT, Esler CN, Reddy VR, Ashford RU. A systematic review of endoprosthetic replacement for non-tumour indications around the knee joint. Knee. 2013;20(6):367-75.
Dei Pozo JL, Patel R. Clinicai practice. lnfection associated with prosthetic joints. N Engl J Med. 2009; 361(8):787-94. Review.
Meek RM, Greidanus NV, Garbuz OS, et ai. Extended trochanteric osteotomy: planning, surgical technique, and pitfalls. lnstr Course Lect. 2004;53:119-130.
Lim SJ, Moon VW, Park YS. Is extended trochanteric osteotomy safe for use in 2-stage revision of periprosthetic hip infection? J Arthroplasty. 2011;26(7):1067-71.
Charity J, Tsiridis E, Gusmão D, Bauze A, Timperley J, Gie G. Extended trochanteric osteotomy followed by cemented impaction allografting in revision hip arthroplasty. J Arthroplasty. 2013;28(1):154-60.
Younger TI, Bradford MS, Magnus RE, PaproskyWG. Extended proximal femoral osteotomy: a new technique for femoral revision arthroplasty. J Arthroplasty. 1995;10:329-238.
