Question:I had a hip osteotomy 10 years ago to put off having a joint replacement. Now I'm going in for a new hip joint. What will happen to the metal plate and screws they used to hold the osteotomy together?
An osteotomy is done to change the angle of the femur (thigh bone) as the top of the bone rests in the hip socket. When an osteotomy is converted to a hip replacement, the doctor evaluates what must be done.
Sometimes more corrective surgery is needed before the joint can be replaced with an implant. The surgeon will try and leave the plate and screws in place. Removing them causes more bleeding and adds time to the operation. Extra bleeding may keep the new cement for the new implant from hardening. Loosening of the implant can occur.
Be sure and ask your doctor about his or decision about removal of the plate and screws in your case.Kenji Kawate, MD, et al. Twenty-five Years Followup of Patients Who Had Valgus Osteotomy for Arthritic Hips. In Clinical Orthopaedics and Related Research. September 2004. Vol. 426. Pp. 151-158.
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