Abstract
We reviewed the results of seven transtrochanteric rotational osteotomies done for painful avascular necrosis of the femoral head. The results tended to deteriorate over the time. Despite the overall unsatisfactory results at final follow-up, the procedure was valuable as it delayed the necessity for total hip arthroplasty. Six patients underwent total hip arthroplasty an average of 6.7 years following the osteotomy. The procedure is technically difficult and is associated with a high risk of late complications, mainly progressive collapse, further necrosis and increased osteoarthritic changes.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Aigner N (1992) Ergebnisse vom Umstellungsosteotomien bei idiopathischer Hüftkopfnekrose. Kurzfassung der Dissertation. Universität Wien, 1992
Dean M, Cabanela M (1993) Transtrochanteric anterior rotational osteotomy for avascular necrosis of the femoral head. Long-term results. J Bone Joint Surg [Br] 75:597
Eyb R, Kotz R (1987) The transtrochanteric anterior rotational osteotomy of Sugioka. Arch Orthop Trauma Surg 106:161
Gartland JJ, Dethoft JL (1983) Sugioka osteotomy for avascular necrosis of the femoral head. Results in twelve patients over three years follow-up. Orthop Trans 7:386
Kinnard P, Lirette R (1990) The Borden and Gearen modification of the Sugioka transtrochanteric rotational osteotomy in avascular necrosis. Clin Orthop 255:194
Kotz R (1980) Die transtrochantere ventrale Rotationsosteotomie nach Sugioka zur Behandlung der Femurkopfnekrose. Orthopäde 9:260
Kotz R (1981) Avascular necrosis of the femoral head. A review of the indications and results of Sugioka's transtrochanteric rotational osteotomy. Int Orthop 5:53
Kotz R, Pflüger G (1977) Die transtrochantäre ventrale Rotationsosteotomie bei der Behandlung der idiopathischen Hüftkopfnekrose. Acta Chir Austrica 3:65
Masuda T, Matsuno T, Hasegawo I, Kanno T, Ichioka Y, Kaneda K (1988) Results of transtrochanteric rotational osteotomy for nontraumatic osteonecrosis of the femoral head. Clin Orthop 228:69
Reichelt A (1982) Beitrag zur operationn Therapie der aseptischen Hüftkopfnekrose mit der transtrochanteren Rotationsosteotomie nach Sugioka. Z Orthop 120:216
Saito S, Ohzono K, Ono K (1988) Joint-preserving operations for idiopathic avascular necrosis of the femoral head. Results of core decompression, grafting and osteotomy. J Bone Joint Surg [Br] 70:78
Sugano N, Takoaha K, Ohzono K, Matsui M, Saito M, Saito S (1992) Rotational osteotomy for non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg [Br] 74:734
Sugioka Y (1978) Transtrochanteric anterior rotational osteotomy of the femoral head in the treatment of osteonecrosis affecting the hip. A new osteotomy operation. Clin Orthop 130:191
Sugioka Y (1984) Transtrochanteric rotational osteotomy in the treatment of idiopathic and steroid-induced femoral head necrosis, Perthes' disease, slipped capital femoral epiphysis, and osteoarthritis of the hip. Indications and results. Clin Orthop 184:12
Sugioka Y, Katsuki I, Hotokebuchi T (1982) Transtrochanteric rotational osteotomy of the femoral head for the treatment of osteonecrosis. Follow-up statistics. Clin Orthop 169:115
Tooke S, Amstutz H, Hedley A (1987) Results of transtrochanteric rotational osteotomy for femoral head osteonecrosis. Clin Orthop 224:150
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Belal, M.A., Reichelt, A. Clinical results of rotational osteotomy for treatment of avascular necrosis of the femoral head. Arch Orthop Trauma Surg 115, 80–84 (1996). https://doi.org/10.1007/BF00573446
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00573446