Abstract：
INTRODUCTION:The Ganz trochanteric flip approach aims to avoid the potential risk of avascular necrosis in hip conserving surgery and may reduce the risk of femoral neck fractures, neck thinning and femoral head implant migration in hip resurfacing. Our initial audit revealed the complications of non-union and trochanteric screw irritation to be associated with this approach. We, therefore, modified our selection criteria and re-audited our results. SUBJECTS AND METHODS:The initial audit (IA) ran between January 2003 and November 2007 after which an age limit of 50 years was recommended. The re-audit (RA) ran between November 2007 and December 2008 where one of the senior authors stopped using the approach in the over 50 year age group whilst the other senior author continued on selected patients over 50 years. RESULTS:There were 545 hips in the IA and 152 hips in the RA group. The incidence of non-union decreased in the RA after the change of selection criteria (6.2% [IA] vs 1.3% [RA]). In both audit groups, the incidence of non-union increased with age, and in the RA no non-unions were observed under the age of 50 years. The incidence of screw irritation and the necessity for removal remained relatively unchanged (20.7% [IA] vs 28.3% [RA]) with a combined incidence of 22.4%. CONCLUSIONS:The trochanteric flip approach to the hip can be used safely with an acceptable complication rate in young adult impingement and resurfacing surgery. Caution must, however, be exercised in patients over 50 years of age as they have a higher incidence of trochanteric non-union. In addition, all patients should be consented for the possibility of screw removal as a second procedure.
journal_name
Ann R Coll Surg Engljournal_title
Annals of the Royal College of Surgeons of Englandauthors
Guyver PM,Cattell A,Reddy RP,Edwards C,Williams D,Dixon SM,Norton MR,Fern EDdoi
10.1308/003588410X12699663904637subject
Has Abstractpub_date
2010-10-01 00:00:00pages
619-22issue
7eissn
0035-8843issn
1478-7083pii
565journal_volume
92pub_type
杂志文章abstract：:Benign breast disease accounts for the majority of referrals to a specialist breast clinic. Delayed investigation prolongs patient anxiety and increases outpatient waiting lists. Few centres offer the triple test of clinical examination, fine needle aspiration cytology (FNAC) and breast imaging by mammography and/or u...
journal_title：Annals of the Royal College of Surgeons of England
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更新日期：1997-07-01 00:00:00
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pub_type： 指南,杂志文章,实务指引
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更新日期：1991-11-01 00:00:00
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更新日期：1995-03-01 00:00:00
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doi：
更新日期：1987-09-01 00:00:00
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更新日期：1994-09-01 00:00:00
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pub_type： 杂志文章
doi：
更新日期：2000-01-01 00:00:00
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doi：
更新日期：1997-03-01 00:00:00
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更新日期：2006-10-01 00:00:00
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更新日期：1993-07-01 00:00:00
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更新日期：1994-09-01 00:00:00
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更新日期：1995-03-01 00:00:00
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更新日期：1990-03-01 00:00:00
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更新日期：1995-09-01 00:00:00
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更新日期：1984-09-01 00:00:00
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更新日期：1991-09-01 00:00:00
