1: J Arthroplasty.  1989;4(1):79-86.  Hip arthroplasty after biplanar femoral osteotomy.DeCoster TA, Incavo S, Frymoyer JW, Howe J.Department of Orthopaedics, University of New Mexico, Albuquerque 87131.Hip arthroplasty in patients who have had previous biplanar femoral osteotomy(eg, Southwick) is a technical surgical problem. Distorted proximal femoralanatomy may make routine insertion of a femoral prosthesis impossible. Theauthors report the short-term results in three patients with hip arthroplastyafter biplanar femoral osteotomy. The technique consists of a biplanar closingwedge osteotomy at the level of the lesser trochanter to correct the previoussurgical deformity. The remaining proximal femur becomes a vascularized bonegraft that is skewered by the femoral prosthesis, which also gains purchase inthe medullary canal of the proximal femoral shaft. This technique allowsrestoration of anatomic femoral alignment and the use of standard prostheseswith preservation of bone stock. The initial results have been very good. Theappearance of the hip is very similar to that in primary hip arthroplasty.Publication Types:    Case Reports
PMID: 2926411 [PubMed - indexed for MEDLINE]