Source of Support: None, Conflict of Interest: None
Seventy-four hips with degenerative (64) or inflammatory arthritis (10) were treated by osteotomy of the lesser trochanter and were reviewed at an average of 9 years after surgery. Following an initial period of pain relief, pain later returned in the majority of hips, necessitating further surgery in 53 per cent. The overall long term results were disappointing, and classed as good in 32 per cent, fair in 26 per cent and poor in 42 per cent. Despite its simplicity and low complication rate, the high number of unsatisfactory results does not justify its routine used in the management of hip pain due to arthritis.