Aim: To evaluate the results of hip resurfacing done using the Ganz trochanteric flip osteotomy.

Introduction: Long term survivorship of hip resurfacing depends on preservation of blood supply to the head of the femur. The most important artery supplying the head of femur is the deep branch of the medial circum-flex artery. Posterior approaches to the hip can damage the deep branch. The Ganz trochanteric flip osteotomy preserves this branch by sparing the external rotators of the hip. The trochanteric osteotomy is stable as the pull of the gluteus medius on the osteotomy is counteracted by the vastus lateralis.

Methods: Over a period of 12 months, the senior author performed hip resurfacing in fifty patients using this approach. The post-operative regime consisted of early mobilisation with touch weight bearing for 6 weeks followed by full weight bearing. The surgical technique and potential pitfalls will be presented.

Results and Conclusions: There were 26 males and 24 females with an average age of 57 years (24–71 years). Minimum follow-up period was 12 months. There was one infection, one early failure of osteotomy. In three patients, one or more screws came loose and had to be removed but the osteotomy had healed. Pre and postoperative Oxford hip and modified UCLA activity scores will be presented.

There was a definite learning curve with this approach. We find it gives an excellent exposure of the hip with minimal trauma to surrounding tissues. The early results are encouraging. It remains to be seen if this approach results in a better survivorship of hip resurfacing in the long term.

Aim: To present the results of trochanteric reduction osteotomy for treatment of resistant trochanteric bursitis.

Methods: Trochanteric reduction osteotomy was performed on ten patients. All patients had been conservatively managed for at least one year with analgesics, anti-inflammatory medications and local steroid injections. All these measures however failed to relieve patients symptoms. The senior author performed trochanteric reduction osteotomy and the osteotomy site was fixed using screws. Patients were assessed pre and postoperatively with a minimum follow-up of six months using oxford hip and modified UCLA scores.

Results and Conclusions: Patient demography, patient selection, surgical technique and results will be presented. All patients were followed-up for a minimum period of six months at regular intervals before being discharged. Early results are very encouraging. Trochanteric reduction osteotomy is a good treatment option in the management of resistant GT bursitis who do not respond to conservative treatment as most of the patients were disabled before operation.