J Korean Hip Soc.  2011 Sep;23(3):221-224. 10.5371/jkhs.2011.23.3.221.

Trochanteroplasty for the Treatment of Uncontrolled Infected Total Hip Arthroplasty: A Case Report

• Park KS
• Yoon TR
• Moon JY
• Hu QS

• KMID: 2014889
• DOI: http://doi.org/10.5371/jkhs.2011.23.3.221

Abstract

Trochanteroplasty is a salvage procedure that is normally performed in septic infant hips. The procedure can provide a stable, painless, functional hip, and reduce any leg-length discrepancy. The authors describe a case of revisional total hip arthopalsty performed on a 65 year-old male patient 4 years after trochanteroplasty for an uncontrolled infection after total hip arthoplasty. The available literature on trochanteroplasty was reviewed. The authors provide a feasible strategy for treating adult hip infections with deficient bone stock in the proximal femur.

Keyword

Infection; Trochanteroplasty; Total hip arthroplasty

MeSH Terms

Adult
Femur
Hip
Humans
Infant
Male

Figure

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  Fig. 1 (A) Preoperative anteroposterior radiograph of the left infected THA showing acetabular cup loosening. (B) Immediate postoperative radiograph of the left hip showing implant removal with extended trochanteric osteotomy and PROSTALAC insertion. (C) Immediate postoperative radiograph showing trochanteroplasty and poor proximal femur bone stock. (D) Radiograph at 4 years after trochanteroplasty showing radiographically much improved bone quality of the proximal femur and acetabulum. (E) Postoperative radiograph at 3 years after revisional THA showing good bony ingrowth on the femoral stem.

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