Transposition of the great trochanter: A look at the problem

Abstract

BACKGROUND: Multiplanar deformity of the proximal femur with a high position of the greater trochanter is one of the most common residual deformities of the hip joint. The Veau–Lamy transposition of the greater trochanter does not fully treat the mutual trauma of the components of the hip joint, as it only brings down the greater trochanter to provide tension for the gluteal muscles.

AIM: This study aimed to share the experience of performing transposition of the greater trochanter according to our proposed technique.

MATERIALS AND METHODS: The study included 15 patients (15 hip joints) aged 9–16 years with a high position of the greater trochanter of the femur, who underwent surgical treatment in the period from 2018 to 2019. In addition to the actual transposition of the greater trochanter, the intervention provided a modeling resection of the base (bed) of the greater trochanter and the formation of an offset of the femoral neck.

RESULTS: Patients were followed up for period of up to 30 months. All patients showed positive changes after surgical treatment with improvement of radiological and clinical parameters.

CONCLUSIONS: The proposed intervention allows restoration of the function of the gluteal muscles, improves the range of motion in the hip joint, and prevents and treats extra-articular impingement syndrome.

Keywords

hip joint / avascular necrosis / relative overgrowth of the greater trochanter (ROGT) / trochanteric-pelvic impingement (TPI) / ischiofemoral impingement / great trochanter / coxa vara trochanterica / children

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RIGHTS & PERMISSIONS

Pozdnikin I.Y., Bortulev P.I., Barsukov D.B., Baskov V.E.