Issue: 2025, Vol. 30, No. 2

D. A. Shavyrin, D. V. Martynenko, K. V. Shevyrev, D. P. Voloshin, P. A. Dyomin, Yu. A. Kulakov

TOTAL HIP ARTHROPLASTY DUE TO HIGH GREATER TROCHANTER LOCATION

Keywords

varus deformity of the femur, X-ray anatomy, high location of the greater trochanter, preoperative planning, equal length of the lower limbs

Abstarct

The variants of medical tactics in hip arthroplasty (HA) are considered to solve the problem of high location of the greater trochanter (GT) and to reduce the risk of relative unequal lengths formation of the lower limbs in the postoperative period. Objective – to justify HA tactics in patients with high GT location. Material and Methods. Patients (45 women and 31 men), aged 34 to 88, with coxarthrosis combined with varus deformity of the proximal femural bone (FB) part underwent total HA in the Department of Traumatology and Orthopaedics of the Moscow Regional Research Clinical Institute named after M. F. Vladimirsky in the period from 2015 to 2025. Their treatment results were studied and analysed. The variants of compensation of GT high location in FB during total HA were considered, the results of surgical treatment of patients within the period from 6 months to 10 years being evaluated. Results and Discussion. The considered variants of compensating the high GT location seemed to solve fully the problems of pelvic-hip impingement formation and excessive lengthening of the operated limb.