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European Journal of Orthopaedic Surgery & Traumatology
Published in: European Journal of Orthopaedic Surgery & Traumatology 1/2021

01-01-2021 | Acetabular Fracture | Original Article

Trochanteric osteotomy for acetabular fracture fixation: a case series and literature review

Authors: Michael J. Chen, Harsh Wadhwa, Seth S. Tigchelaar, Christopher S. Frey, Michael J. Gardner, Michael J. Bellino

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 1/2021

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Abstract

Purpose

This study examined osteotomy union and heterotopic ossification (HO) after performing digastric trochanteric osteotomies during open reduction and internal fixation (ORIF) of acetabular and combined femoral head fractures. Femoral head osteonecrosis and trochanteric screw removal were secondarily assessed.

Methods

Twenty-six patients treated at a Level I trauma center, from years 2003 to 2019, who received a digastric trochanteric osteotomy during acetabular and combined femoral head fracture ORIF through a posterior surgical approach were retrospectively identified. Osteotomies were fixed with two 3.5 mm cortical lag screws. Rates of osteotomy union, HO, femoral head osteonecrosis, and trochanteric screw removal were determined.

Results

All osteotomies went onto union without displacement or failure of fixation. Only three (12%) patients developed severe HO (modified-Brooker class III–IV). There were no instances of femoral head osteonecrosis and only one (7%) patient required trochanteric screw removal.

Conclusions

The digastric trochanteric osteotomy heals reliably with low rates of severe HO, femoral head osteonecrosis, and screw removal for soft-tissue irritation. A review of the literature is presented and found comparable findings.
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Metadata
Title
Trochanteric osteotomy for acetabular fracture fixation: a case series and literature review
Authors
Michael J. Chen
Harsh Wadhwa
Seth S. Tigchelaar
Christopher S. Frey
Michael J. Gardner
Michael J. Bellino
Publication date
01-01-2021
Publisher
Springer Paris
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 1/2021
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-020-02753-9

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