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Distal lengthening of ilio-tibial band by Z-plasty for treating refractory greater trochanteric pain after total hip arthroplasty (Pedersen-Noor operation)
Department of Orthopaedic Surgery, Sundsvall Hospital, Sundsvall, Sweden; Department of Surgical and Perioperative Sciences, Norrland University Hospital, Umeå, Sweden.
Department of Orthopaedic Surgery, Sundsvall Hospital, Sundsvall, Sweden.
Department of Orthopaedic Surgery, Karolinska University Hospital, Stockholm, Sweden; Department of Molecular Medicine and Surgery, Karolinska Institute, Solna, Stockholm, Sweden.
Department of Orthopaedic Surgery, Sundsvall Hospital, Sundsvall, Sweden; Department of Surgical and Perioperative Sciences, Norrland University Hospital, Umeå, Sweden.
2009 (English)In: Archives of Orthopaedic and Trauma Surgery, ISSN 0936-8051, E-ISSN 1434-3916, Vol. 129, no 5, 597-602 p.Article in journal (Refereed) Published
Abstract [en]

Introduction: The development of greater trochanteric pain (GTP) after total hip arthroplasty (THA) represents a special category. Despite that treatment is mainly conservative, some patients show poor response and surgical intervention should be considered. We propose a new method consisting of distal lengthening of ilio-tibial band (ITB) by Z-plasty.

Material and methods: Between March 2004 and June 2006, 12 women with refractory GTP after THA were operated on using distal ITB lengthening. The procedure was done under local anaesthesia on an outpatient basis. The patients were followed up 3-4 months postoperatively by phone interview and at 1-3 years by EQ-5D questionnaire and clinical examination including tenderness evaluation with algometer.

Results: All patients improved significantly (EQ-5D = 0.26 preoperatively vs. 0.67 postoperatively; P < 0.005) except one patient who experienced no change in GTP symptoms. No postoperative complications were reported.

Conclusions: We believe that treating patients with GTP after THA by the technique described offers a simple, safe and reliable method.

Place, publisher, year, edition, pages
New York, USA: Springer, 2009. Vol. 129, no 5, 597-602 p.
Keyword [en]
Lengthening, Ilio-tibial band, Greater trochanteric pain, EQ-5D, Algometer
National Category
Medical and Health Sciences Orthopedics Surgery
Identifiers
URN: urn:nbn:se:oru:diva-55781DOI: 10.1007/s00402-008-0693-8ISI: 000264854100005PubMedID: 18622622Scopus ID: 2-s2.0-64449086750OAI: oai:DiVA.org:oru-55781DiVA: diva2:1074570
Available from: 2017-02-15 Created: 2017-02-15 Last updated: 2017-03-08Bibliographically approved

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