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Trochanter-Osteotomie

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Fortschritte in der speziellen Hüftchirurgie

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Zusammenfassung

Trochanterosteotomien (TO) wurden in den 1960er- und 1970er-Jahren von Sir John Charnley für die primäre Hüfttotalendoprothese (HTEP) propagiert [1]. Die Vorteile der TO bei der primären HTEP waren die exakte Positionierung der Komponenten durch einen ausgedehnten chirurgischen Zugang und die Möglichkeit, die Laxität der Abduktoren durch Straffung der Abduktorenmuskulatur durch eine distale Trochantervorverlagerung zu beheben. Dank präziser präoperativer Planungsinstrumente und der Entwicklung moderner Implantatdesigns und weniger invasiver chirurgischer Verfahren ist der Einsatz der TO in der primären Hüftendoprothetik drastisch zurückgegangen. Derzeit wird die TO nur bei Revisionsendoprothesen oder komplexen primären HTEP-Implantationen eingesetzt, wie z. B. bei angeborenen Hüftkrankheiten (z. B. Dysplasie, hohe Hüftluxation, Post-Perthes), posttraumatischer Arthritis (± retiniertes Osteosynthesematerial) oder schweren Deformitäten [2, 3]. Dieses Kapitel gibt einen Überblick über die häufigsten Arten der TO mit Schwerpunkt bei Indikationen, Technik und Komplikationen.

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Author information

Authors and Affiliations

  1. Hospital for Special Surgery, Weill Medical College, Cornell University, New York, USA

    Mathias P. G. Bostrom & Branden R. Sosa

  2. Klininsche Abteilung für Orthopädie, Universitätsklinik für Orthopädie und Unfallchirurgie, Medizinische Universität Wien, Wien, Österreich

    Kevin Staats

Authors
  1. Mathias P. G. Bostrom
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  2. Branden R. Sosa
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  3. Kevin Staats
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Corresponding author

Correspondence to Mathias P. G. Bostrom .

Editor information

Editors and Affiliations

  1. Abteilung für Orthopädie, Uniklinik RWTH Aachen, Aachen, Deutschland

    Wolf R. Drescher

  2. Abteilung für orthopädische Chirurgie, Seoul National University Bundang Hospital, Seongnam, Korea (Republic of)

    Kyung-Hoi Koo

  3. Orthopaedic Surgery, Hip and Knee Replacement, Hospital of Special Surgery, New York, USA

    Russell E. Windsor

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Bostrom, M.P.G., Sosa, B.R., Staats, K. (2023). Trochanter-Osteotomie. In: Drescher, W.R., Koo, KH., Windsor, R.E. (eds) Fortschritte in der speziellen Hüftchirurgie. Springer, Cham. https://doi.org/10.1007/978-3-031-27202-8_20

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  • DOI: https://doi.org/10.1007/978-3-031-27202-8_20

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