Greater trochanteric preserving hip arthroplasty in the treatment of XXXX : long-term results.

@entity1 @entity3656 @entity5414 @entity158 @entity2096
BACKGROUND: Balanced forces around the hip joint are critical for normal development of the hip joint, so it should be considered in every hip reconstructive procedure. METHODS: In seven @entity1 with complete destruction of the femoral head and neck due to @entity5414 , a reconstructive hip surgery was done to reconstruct the femoral head without sacrificing the greater trochanter and its muscles completely. The technique consists of a modified greater trochanter arthroplasty with only a medial portion of the greater trochanter and a @entity2096 . RESULTS: The average age of the @entity1 at surgery was 17  months (range 8-36  months) and the @entity1 were followed for an average of 16.6  years (range 10.9-20.1  years). The average number of second operative procedures for each @entity1 was 2 (range 1-4). The follow-up evaluation for each @entity1 included documentation of @entity158 , hip range of motion, and assessment of gait. In addition, the current @entity3656 , final coverage and stability of the hip joint were documented. At final evaluation, all @entity1 had a @entity158 -free stable hip and two @entity1 had near-normal hip range of motion. All @entity1 have had satisfactory surgery results. CONCLUSIONS: By this kind of hip reconstruction, we could provide a stable painless hip joint with special attention to the greater trochanter's role on hip biomechanics.
