The outcome of trochanteric reattachment in revision total hip arthroplasty with a cable grip system: Mean 6-year follow-up

McCarthy, Joseph C.; Bono, James V.; Turner, Richard B.; Kremchek, Timothy E.; Lee, Jo Ann

doi:10.1016/s0883-5403(99)90030-x

Cited by 54 publications

(27 citation statements)

References 21 publications

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“…In contrast, a recent series of 223 total hip arthroplasties that used the Dall-Miles cable grip system reported a 91% union rate of the greater trochanter [7]. In this study, the cable grip system was used for all cases, though several different techniques were used to apply the cables.…”

mentioning

confidence: 95%

An Improved Method for Cable Grip Fixation of the Greater Trochanter After Trochanteric Slide Osteotomy

Thakur

Crisco

Moore

et al. 2010

The Journal of Arthroplasty

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This study proposes a novel method for reattachment of the trochanteric slide osteotomy. The strength of this new fixation system was compared to established configurations. Fifteen sawbone femurs were used. Our configuration used cables above and below the lesser trochanter with a third cable around the shaft of the femur while passing the loose ends through the inferior hole of the cable grip. Displacement of the trochanter was measured with increasing load. Force required for catastrophic failure was also measured. The 3-cable construct resulted in significantly less displacement with increasing load and required a larger force to cause failure (1 cm and 2 cm). We theorize that our configuration produces a biomechanically stronger construct than previously used methods.

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mentioning

confidence: 95%

An Improved Method for Cable Grip Fixation of the Greater Trochanter After Trochanteric Slide Osteotomy

Thakur

Crisco

Moore

et al. 2010

The Journal of Arthroplasty

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“…The nonunion rate in the study described here was 18.7%. In another study, the union rate of greater trochanteric fractures was 91% in 223 patients who underwent total hip arthroplasty using the Dall-Miles cable grip system [23]. …”

Section: Discussionmentioning

confidence: 99%

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

Ozan

Koyuncu

Pekedis

et al. 2014

BioMed Research International

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The aim of the study was to investigate the efficacy of greater trochanteric fixation using a multifilament cable to ensure abductor lever arm continuity in patients with a proximal femoral fracture undergoing partial hip arthroplasty. Mean age of the patients (12 men, 20 women) was 84.12 years. Mean follow-up was 13.06 months. Fixation of the dislocated greater trochanter with or without a cable following load application was assessed by finite element analysis (FEA). Radiological evaluation was based on the distance between the fracture and the union site. Harris hip score was used to evaluate final results: outcomes were excellent in 7 patients (21.8%), good in 17 patients (53.1%), average in 5 patients (15.6%), and poor in 1 patient (9.3%). Mean abduction angle was 20.21°. Union was achieved in 14 patients (43.7%), fibrous union in 12 (37.5%), and no union in 6 (18.7%). FEA showed that the maximum total displacement of the greater trochanter decreased when the fractured bone was fixed with a cable. As the force applied to the cable increased, the displacement of the fractured trochanter decreased. This technique ensures continuity of the abductor lever arm in patients with a proximal femoral fracture who are undergoing partial hip arthroplasty surgery.

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“…The most commonly used methods of fixation are using stainless steel cerclage wires or cables [1,[4][5][6]10]. Cerclage wires may compress the bone and soft tissues and can cause vascular interruption, which could affect healing adversely.…”

Section: Discussionmentioning

confidence: 99%

“…Commercial cabling systems are expensive. In addition, wires and cables can break and unravel [5,10]. Complications like proximal migration, early and late fracture of the osteotomy, and nonunion needing reoperation have been described (Table 1) [1,[4][5][6][7]10].…”

Section: Discussionmentioning

confidence: 99%

“…Revision THA is a difficult and demanding procedure requiring removal of existing cemented or uncemented implants, reconstruction of deficient bone stock, and solid fixation of a new component [1,[4][5][6][7][8][9][10][11]. For safe, easy, thorough removal of a prosthesis, cement mantle, and fibrous tissue without risking the distal femur, several femoral osteotomy approaches are used.…”

Section: Introductionmentioning

confidence: 99%

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A New Technique to Reattach an Extended Trochanteric Osteotomy in Revision THA Using Suture Cord

Kuruvalli

Landsmeer

Debnath

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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The outcome of trochanteric reattachment in revision total hip arthroplasty with a cable grip system: Mean 6-year follow-up

Cited by 54 publications

References 21 publications

An Improved Method for Cable Grip Fixation of the Greater Trochanter After Trochanteric Slide Osteotomy

An Improved Method for Cable Grip Fixation of the Greater Trochanter After Trochanteric Slide Osteotomy

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

A New Technique to Reattach an Extended Trochanteric Osteotomy in Revision THA Using Suture Cord

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