Contemporary Use of Trochanteric Plates in Periprosthetic Femur Fractures: A Displaced Trochanter Will Not Be Tamed

Neitzke, Colin; Davis, Elizabeth A.; Puri, Simarjeet; Chalmers, Brian P.; Sculco, Peter K.; Gausden, Elizabeth B.

doi:10.1016/j.arth.2022.07.012

Cited by 9 publications

(3 citation statements)

References 21 publications

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“…A recent series reported the 2-year outcomes of patients with GT fractures sustained either intraoperatively or in the early postoperative period managed with surgical fixation. 27 This series reported a nonunion rate of 39%; however, for fractures when displacement was present before surgery, a nonunion rate of 77% was reported, suggesting that surgical fixation was an unreliable method of achieving durable reduction and subsequent union of the displaced fragment. For clinical outcomes, 32% patients had persistent pain over the GT, 34% of patients were using an assistive ambulatory device, and 27% patients had alteration of their gait.…”

Section: Management Of Greater Trochanter Fractures Sustained Intraop...mentioning

confidence: 83%

Management of Isolated Greater Trochanter Fractures Associated With Total Hip Arthroplasty

Fraval,

Hegeman,

Krueger

2023

J Am Acad Orthop Surg

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Periprosthetic hip fractures are recognized complications associated with total hip arthroplasty. Over the past decade, there has been a 2.5-fold increase in the incidence of periprosthetic fractures which is expected to grow exponentially in the future. Most of these fractures require surgical fixation or revision arthroplasty. Fractures of the greater trochanter represent a subset of periprosthetic fractures for which there is currently no consensus in the literature regarding the optimal management. The purpose of this review was to outline the management strategies available to address these fractures, with formulation of recommendations for fractures sustained intraoperatively, postoperatively, and in the setting of primary and revision total hip arthroplasty.

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Section: Management Of Greater Trochanter Fractures Sustained Intraop...mentioning

confidence: 83%

Management of Isolated Greater Trochanter Fractures Associated With Total Hip Arthroplasty

Fraval,

Hegeman,

Krueger

2023

J Am Acad Orthop Surg

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“… 10 – 12 However, fixation of the greater trochanter after osteotomy can be difficult, with current literature showing no consensus regarding the best practice; the potential nonunion would require revision surgery. 9 , 11 , 13 14 15 16 With the most common reasons for THA revision being dislocation and mechanical loosening, 6 the Arcos Modular Femoral Revision System offers a wide-ranging, press-fit revision stem design. While it is widely used for revision surgeries, there is currently little literature regarding it.…”

Section: Discussionmentioning

confidence: 99%

“…6 However, they have been associated with high rates of revision surgery, nonunion, and implant failure. 7–9 In this report, we present a case of implant failure in the Zimmer Biomet Arcos Modular Femoral Revision System–Trochanteric Bolt and Claw Technique.…”

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confidence: 99%

Trochanteric Bolt Failure in a Modular Femoral Revision System

Acevedo,

Trapana,

Constantinescu

et al. 2023

JAAOS Glob Res Rev

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With the incidence of primary total hip arthroplasty continuing to rise in the United States, the innovation behind improving current total hip arthroplasty systems inevitably grows with it—each new design potentially ushering in new flaws. We report a case of screw failure with the Arcos Modular Femoral Revision System–Trochanteric Bolt and Claw Technique in a 74-year-old male patient. The patient presented to the investigator's clinic for their 20-month follow-up evaluation of their complex right hip revision. Radiographs revealed failure of the screw attaching the claw plate to the stem resulting in dislodgement and relocation of the screw within the intra-articular cavity. The patient elected for nonsurgical management and will continue to be monitored. Consent by the patient involved in this case report was obtained.

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Komplikationen der Hüftendoprothetik: Periprothetische Frakturen

Märdian,

Meller

2023

AE-Manual Der Endoprothetik

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Contemporary Use of Trochanteric Plates in Periprosthetic Femur Fractures: A Displaced Trochanter Will Not Be Tamed

Cited by 9 publications

References 21 publications

Management of Isolated Greater Trochanter Fractures Associated With Total Hip Arthroplasty

Management of Isolated Greater Trochanter Fractures Associated With Total Hip Arthroplasty

Trochanteric Bolt Failure in a Modular Femoral Revision System

Komplikationen der Hüftendoprothetik: Periprothetische Frakturen

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