Direct Anterior Approach for Total Hip Arthroplasty with Subtrochanteric Shortening Osteotomy: A Case Report. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: Grieco, Preston W.; Villa, Jesus M.; Pannu, Tejbir S.; Higuera, Carlos A.; Riesgo, Aldo M.
• Is Part Of: JBJS case connector. Volume 11:Issue 1(2021)
• Publication Date: 2021-01
• Subjects: proximal focal femoral deficiency -- subtrochanteric shortening osteotomy -- total hip arthroplasty -- direct anterior approach; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.00336
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A patient with Aitken type A proximal focal femoral deficiency (PFFD) and significant limb length discrepancy managed with total hip arthroplasty making use of a novel technique that features a direct anterior approach (DAA) and a subtrochanteric shortening osteotomy. Conclusion: Although the current description of the shortening osteotomy is for PFFD, it is versatile enough to allow its application in other hip pathologies requiring subtrochanteric shortening in the setting of total hip arthroplasty. The authors believe that the description of this case report and surgical technique may be an option for the experienced DAA surgeon.