Fracture of the greater trochanter during hip replacement

The direct lateral approach: impact on gait patterns, foot progression angle and pain in comparison with a minimally invasive anterolateral approach

“…However, standard approaches, such as the direct lateral (transgluteal) approach, are still broadly applied. This is due to the fact that they are easy to learn, provide an excellent intraoperative overview [25], can be extended if needed and carry little risk for fractures [13,31] or dislocations [7,8,21]. The disadvantages of such standard approaches, at least for the traditional lateral approach of Bauer and Hardinge, include the risk of temporary or permanent neuromuscular damage to the hip abductors [29,34] with subsequent insuYciency to hip abduction and stabilisation of the pelvis [8,29].…”

Surgical approach in primary total hip arthroplasty: anatomy, technique and clinical outcomes

“…A retrospective review by Hendel and colleagues 36 of 372 primary THAs revealed 15 intraoperative greater trochanter fractures (4.0%) using a lateral approach. Similar to the reports using the direct anterior approach, the authors suggest increased soft tissue tension and resultant avulsion during femoral preparation as the cause of the fractures.…”

Surgical Treatment of Fractures of the Greater Trochanter Associated with Osteolytic Lesions

“…The reported methods for fixation of fractures of the greater trochanter include the use of wires, specialized plates, and cable techniques [14][15][16][17][18][19] . The cable-grip system has been reported to provide improved mechanical strength compared with conventional wire-fixation techniques 17,20,21 .…”