Improving greater trochanteric reattachment with a novel cable plate system

Anterior locking plate reduces trochanteric fracture migrations during hip extension

“…Todd et al (2007) have shown that locking screw performance could be independent of the bone mineral density (BMD) and also offer better primary fixation stability than the cable cerclages typically used (Cloutier et al, 2013). Previous studies have also shown that the novel locking plate with anterior fixations used in this study significantly reduces GT movements, but on synthetic specimens loaded in a quasistatic mode and without describing any failure mode (Baril et al, 2012(Baril et al, , 2013.…”

“…Previous biomechanical studies on GT implants were performed in a quasi-static mode (Baril et al, 2012(Baril et al, , 2013Dall and Miles, 1983;Hersh et al, 1996;Khanna et al, 2007;Markolf et al, 1979;Plausinis et al, 2003;Schwab et al, 2008;Thakur et al, 2008). The current study is innovative by simulating a quasi-dynamic full stair climbing gait (Heller et al, 2005) in an attempt to better approach and reproduce migrations seen in patients.…”

Greater Trochanteric Fixation Using Cable Plate Devices in Complex Primary and Revision Total Hip Arthroplasty

“…Anatomic reduction, which may be difficult to achieve, and sufficient plate length and number of cables should improve the union rate. New plate designs with locking screws may improve results [ [16] , [17] , [18] ].…”

Medial Migration of a Broken Trochanteric Cable

“…Cable grip systems are preferred mostly due to their superior mechanical properties like better resistance to fatigue and higher yield and breaking strength [ 6 , 7 ]. But their bulky structure causes symptoms like pain and bursitis more often than other constructs [ 8 ]. Wire or cable breakage is also an important complication which might lead to trochanteric nonunion and revision surgery.…”