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Treatment of Osteoarthritic Change in the Hip pp 19–26Cite as

Indications for Simple Varus Intertrochanteric Osteotomy for the Treatment of Osteonecrosis of the Femoral Head

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Abstract

The purpose of this study was to evaluate the long-term results of simple varus intertrochanteric osteotomy for osteonecrosis of the femoral head. Forty hips in 31 patients were included, with an average age at the time of surgery of 34 years (range, 21–51 years). The mean duration of follow-up was 12.1 years (range, 5–23 years). Osteonecrosis was high-dose-steroid-induced in 20 patients, alcohol-induced in 7 patients, and idiopathic in 4 patients. The amount of varus correction ranged from 15° to 40° (mean, 23°). The JOA hip score increased from a preoperative average of 71 points to 85 points at the most recent follow-up. Thirty (75%) of the 40 hips showed good or excellent results, 10 (25%) hips had fair or poor results, and 4 hips needed prosthetic arthroplasty. In 28 hips with equal to or greater than 25% postoperative lateral head index, 24 (86%) hips showed good or excellent results. Average shortening of leg length was 1.8 cm. Our findings indicate that if necrotic lesions are limited medially and the lateral part of the femoral head remains intact, good longterm results can be obtained by simple varus osteotomy.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Asahikawa Medical College, Midorigaoka Higashi 2-1-1-1, Asahikawa, 078-8510, Japan

    Hiroshi Ito, Teruhisa Hirayama, Hiromasa Tanino & Takeo Matsuno

  2. Department of Orthopaedic Surgery, Hokkaido University School of Medicine, Kita-ku Kita-15 Nishi-7, Sapporo, 060-8638, Japan

    Akio Minami

Authors
  1. Hiroshi Ito
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  2. Teruhisa Hirayama
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  3. Hiromasa Tanino
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  4. Takeo Matsuno
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  5. Akio Minami
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Editor information

Editors and Affiliations

  1. Nakajo Central Hospital, Orthopaedic Division, 12-1 Nishihon-cho, Tainai, Niigata, 959-2656, Japan

    Muroto Sofue M.D. (Director and Chairman) (Director and Chairman)

  2. Division of Orthopedic Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata, 951-8510, Japan

    Naoto Endo M.D. (Professor and Chairman) (Professor and Chairman)

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© 2007 Springer

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Ito, H., Hirayama, T., Tanino, H., Matsuno, T., Minami, A. (2007). Indications for Simple Varus Intertrochanteric Osteotomy for the Treatment of Osteonecrosis of the Femoral Head. In: Sofue, M., Endo, N. (eds) Treatment of Osteoarthritic Change in the Hip. Springer, Tokyo. https://doi.org/10.1007/978-4-431-38200-3_3

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  • DOI: https://doi.org/10.1007/978-4-431-38200-3_3

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-38198-3

  • Online ISBN: 978-4-431-38200-3

  • eBook Packages: MedicineMedicine (R0)

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