Greater Trochanteric Fixation Using a Cable System for Partial Hip Arthroplasty: A Clinical and Finite Element Analysis

Ozan, Fırat; Koyuncu, Şemmi; Pekedis, Mahmut; Altay, Taşkın; Yıldız, Hasan; Toker, Gökhan

doi:10.1155/2014/931537

Cited by 9 publications

(4 citation statements)

References 23 publications

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“…Hip fractures affect elderly people worldwide and represent a global public health issue [ 1 , 2 ]. Unstable proximal femoral fractures may result from low-energy fractures caused by the increased prevalence of osteoporosis and falls in the elderly [ 1 , 2 , 8 ]. All fractures represent a significant cause of morbidity and reduced quality of life, and they are also associated with increased mortality rates [ 1 , 2 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Risk Factors for Second Hip Fractures in Elderly Patients

Batın¹,

Ozan²,

Gürbüz³

et al. 2018

J Clin Med Res

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BackgroundHip fracture is a worldwide public health problem that primarily affects osteoporotic individuals and the elderly. A second hip fracture can occur in elderly patients who have already suffered an initial hip fracture. The aim of this study was to investigate possible risk factors for second hip fractures in elderly patients with hip fractures.MethodsBetween 2010 and 2014, 230 patients who underwent uncemented bipolar hemiarthroplasty for hip fractures were retrospectively analyzed. The patients were divided into two groups: those with a first hip fracture (group 1) and those with a second hip fracture (group 2).ResultsThe mean time from the first hip fracture to second hip fracture was 22 months. There were no significant differences in the American Society of Anesthesiologist scores, comorbidities were observed in the two groups. The mean length of hospitalization was not significantly different between the two groups. The mean postoperative functional scores after second hip fractures were significantly lower in group 2 than in group 1.ConclusionsAlthough there are not certain risk factors for second hip fractures in elderly patients with hip fractures, to prevent second hip fractures, elderly patients should be provided with physical and medical therapy as well as orthotic support and their functional activity should be maintained.

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Section: Discussionmentioning

confidence: 99%

“…Systemic conditions are common in the elderly [ 1 , 6 ]. Such conditions, which increase with age, can lead to fragmented fractures of the proximal femur or unstable fractures caused by minor injuries and are considered one of the leading causes of death in elderly people [ 1 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Risk Factors for Second Hip Fractures in Elderly Patients

Batın¹,

Ozan²,

Gürbüz³

et al. 2018

J Clin Med Res

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“…Panousis et al 7) reported a fibrous union rate of 7.1%, a non-union rate of 5.3%, and a wire breakage rate of 17.8% with use of a cerclage wire. Several other scholars have reported non-union rates ranging from 2.9% to 18.9% using different techniques ( Table 3 ) 10 12 13 14) . These authors reported that non-union and/or proximal migration usually occurs in cases where rupture of the wires occurs early in the follow-up period before union of the trochanter with the intact femur.…”

Section: Discussionmentioning

confidence: 98%

Primary Arthroplasty for Unstable and Failed Intertrochanteric Fractures: Role of Multi-Planar Trochanteric Wiring Technique

et al. 2023

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Purpose The primary objective of the current study is to demonstrate the trochanteric wiring technique. A secondary objective is to evaluate the clinico-radiological outcomes of use of the wiring technique during primary arthroplasty for treatment of unstable and failed intertrochanteric fractures. Materials and Methods A prospective study including follow-up of 127 patients with unstable and failed intertrochanteric fractures who underwent primary hip arthroplasty using novel multi-planar trochanteric wiring was conducted. The average follow-up period was 17.8±4.7 months. Clinical assessment was performed using the Harris hip score (HHS). Radiographic evaluation was performed for assessment of union of the trochanter and any mechanical failure. P <0.05 was considered statistically significant. Results At the latest follow-up, the mean HHS showed significant improvement from 79.9±1.8 (at three months) to 91.6±5.1 ( P <0.05). In addition, no significant difference in the HHS was observed between male and female patients ( P =0.29) and between fresh and failed intertrochanteric fractures ( P =0.08). Union was achieved in all cases of fractured trochanter, except one. Wire breakage was observed in three patients. There were five cases of limb length discrepancy, three cases of lurch, and three cases of wire-related bursitis. There were no cases of dislocation or infection. Radiographs showed stable prosthesis in situ with no evidence of subsidence. Conclusion Use of the proposed wiring technique was helpful in restoring the abductor level arm and multi-planar stability, which enabled better rehabilitation and resulted in excellent clinical and radiological outcomes with minimal risk of mechanical failure.

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“…4,13 In people, multifilament cables are generally used instead of cerclage wires as cables have greater interfragmentary compression and frictional resistance than orthopaedic wire and are also less likely to crush osteoporotic trochanteric bone. 14,23 Biomechanical in vitro studies have shown that the addition of a cable cerclage doubles the stability of unicortical screw and plate constructs. 14 The biomechanical benefits of secondary stabilization with the use of a cableplate construct following screw pull-out have been reported in one dog.…”

Section: Discussionmentioning

confidence: 99%

Treatment Outcomes for Periprosthetic Femoral Fractures in Cementless Press-Fit Total Hip Replacement

Monotti

Preston²,

Kidd³

2020

Vet Comp Orthop Traumatol

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Objective The aim of this study was to report outcomes in dogs with periprosthetic femoral fractures associated with a press-fit cementless femoral total hip replacement implant. Methods Electronic medical records and digital radiographs were used to identify dogs with periprosthetic femoral fractures associated with press-fit cementless total hip replacement. Data collected included signalment, weight, time of fracture, cause of fracture, presence of intra-operative fissure, fracture type, repair technique, and clinical and radiographic outcomes. Long-term patient outcome was assessed by communication with owners or referring veterinarians. Results Twenty-eight dogs with femoral fracture repair associated with cementless press-fit total hip replacement were identified. Eight of the fractures occurred intraoperatively and 20 occurred at a median of 2 days postoperatively. An oblique or spiral configuration was noted in 19 cases and 15 occurred at the distal end of the femoral stem (type B), with thirteen type B1, one type B2 and one type B3 fractures. Fractures were repaired with non-locking (18/28) or locking-plate fixation (10/28). Cerclage wire was applied around the plate and proximal bone segment in 17/28 dogs. Major complications occurred in 7/28 cases (five deep infection, two mechanical failures). Bone healing was noted in 21/23 cases, for which follow-up radiographic interpretation was available. Return to function was complete in 17 cases, acceptable in 8 cases and unacceptable in 3 cases. Conclusions While cementless total hip replacement periprosthetic femoral fractures can be successfully repaired with lateral plate fixation, the risk of infection appears to be high.

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Greater Trochanteric Fixation Using a Cable System for Partial Hip Arthroplasty: A Clinical and Finite Element Analysis

Cited by 9 publications

References 23 publications

Evaluation of Risk Factors for Second Hip Fractures in Elderly Patients

Evaluation of Risk Factors for Second Hip Fractures in Elderly Patients

Primary Arthroplasty for Unstable and Failed Intertrochanteric Fractures: Role of Multi-Planar Trochanteric Wiring Technique

Treatment Outcomes for Periprosthetic Femoral Fractures in Cementless Press-Fit Total Hip Replacement

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