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Mémoire originalInfluence de l’antéversion fémorale pré-opératoire et de l’orientation du plan d’ostéotomie intertrochantérien sur la morphologie du fémur proximal après ostéotomie intertrochantérienne de rotation : une étude simulée en scanner 3DEffects of intertrochanteric osteotomy plane and pre-operative femoral anteversion on the post-operative morphology of the proximal femur in transtrochanteric anterior rotational osteotomy: 3D CT-based simulation study☆

Research paper by K.Sonodaa, G.Motomuraa, S.Ikemuraa, Y.Kuboa, T.Yamamotob, Y.Nakashimaa

Indexed on: 15 Nov '17Published on: 01 Nov '17Published in: Revue de Chirurgie Orthopédique et Traumatologique



Abstract

Transtrochanteric anterior rotational osteotomy (ARO) is joint-preserving surgery for patients with osteonecrosis of the femoral head (ONFH). During ARO, femoral neck-shaft varus angulation by changing intertrochanteric osteotomy plane is often designed to obtain a sufficient post-operative intact ratio. However, the effect of intertrochanteric osteotomy plane on post-operative femoral anteversion has not been well examined. Therefore we performed a simulation study of ARO to determine how intertrochanteric osteotomy plane and pre-operative femoral anteversion affect both femoral neck-shaft varus angle and post-operative femoral anteversion.