Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Adam, A.
Right arrow Articles by Spence, A. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Adam, A.
Right arrow Articles by Spence, A. J.

INTERTROCHANTERIC OSTEOTOMY FOR OSTEOARTHRITIS OF THE HIP

A. Adam 1; and A. J. Spence 1

1 The Royal National Orthopaedic Hospital and the Institute of Orthopaedics, London and Stanmore

1 . Intertrochanteric osteotomy is valuable in the treatment of patients with osteoarthritis of the hip, giving a high percentage of satisfactory results. It often relieves the pain immediately, is long-lasting in its effects, and may even increase the range of movement.

2. There is no evidence from our figures that the extent of medial displacement of the lower fragment influences the result as judged from relief of pain, performance, and the patient's assessment. Movement, however, is less improved if displacement exceeds half the diameter of the divided bone.

3. Our observations did not support the view that improvement is caused by a changed relationship between the upper fragment and the acetabulum. When measurements were possible the position of the upper fragment usually remained virtually unaltered.

4. Our figures confirm that in most patients relief of pain is immediate; that is to say, the patient is aware on regaining consciousness that his pain has gone, even though he formerly had pain at rest. Whatever may be the mechanism that relieves the pain, it acts immediately.
(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General