Reattachment of an osteotomized greater trochanter in total hip arthroplasty using an ultra-high molecular weight polyethylene fiber cable

Oe, Kenichi; Iida, Hiroya; Kobayashi, Fumito; Ueda, Narumi; Nakamura, Tomohisa; Okamoto, Naoya; Saito, Takanori

doi:10.1016/j.jos.2018.07.020

Cited by 17 publications

(34 citation statements)

References 21 publications

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“…The incidence of greater trochanteric fractures (type F) was 11.6% (11/95 hips) and almost identical to previous reports (Table 3). When the anterior and posterior knot outcomes were compared with previous ndings, the outcome of the anterior knot was worse than past reports [12,13]; however, the outcome of the posterior knot was identical to that reported by Oe et al [12], although the patients were older and had femoral neck fracture. As the present study included patients with displaced femoral neck fracture and they were older, bone weakness was expected; thus, the incidence of greater trochanteric complications (greater trochanteric fracture in particular) were expected to be high.…”

Section: Discussionsupporting

confidence: 52%

“…Oe et al [12] reported that the incidence of greater trochanteric complications was 7.9% (37/466 hips) in their THA cases via the modi ed Dall approach using two UHMWPE ber cables (applied when the greater trochanteric fragment was reattached). Kuroda et al [13] also reported that the incidence of greater trochanteric complications was 5.0% (3/60 hips) in their THA cases via the modi ed Mostardi approach using two UHMPE ber cables.…”

Section: Discussionmentioning

confidence: 99%

“…Statistically, the age at operation, sex, size of the greater trochanteric fragment, type of the stem, and experience of the surgeon did not in uence the greater trochanteric complications in the present study. In their THA cases performed via the modi ed Dall approach, Oe et al [12] reported that the patients' age and experience of the surgeon were risk factors for the complications of the greater trochanter. In the present study, the BMI and knot position were the risk factors (Table 2).…”

Section: Discussionmentioning

confidence: 99%

“…A recent meta-analysis [2] showed that PAs are associated with a higher risk of dislocation and re-operation than AAs and LAs. In our country LAs were relatively widely used and several good results were reported [12,13].…”

Section: Introductionmentioning

confidence: 90%

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Influence of the knot position on the union of the greater trochanter after bipolar hip arthroplasty via the modified Dall approach: A prospective non-randomized study

Kataoka

Fujita²,

Hara

et al. 2020

Preprint

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Background: In our institute, all elderly patients with displaced femoral neck fracture were treated with cemented bipolar hemiarthroplasty (BHA) using the modified Dall approach. To our knowledge, there are no reports on the knot position of the greater trochanter reattachment. The aim of this study was to determine influence of two knot positions (anterior or posterior) on the complications of the greater trochanter.Methods: This is a prospective non-randomized study conducted on 95 elderly patients (95 hips) from September 2013 to December 2017. The knot position was changed from anterior to posterior alternately. The X-ray images obtained immediately after the operation were compared with those obtained at 3 months postoperatively; thereafter, the status of the greater trochanter was classified into three types: type A, no apparent shifting and fracture; type C, over 1-mm shifting of the fragment; and type F, fracture of the greater trochanter.Results: Regarding age at operation, sex, BMI, size of the greater trochanteric fragment, stem type, and surgeon, there was no significant difference between two groups. In the anterior group, 34 hips (72.3%), 5 hips (10.6%), and 8 hips (17.0%) were classified under type A, C, and F, respectively. In the posterior group, 44 hips (91.7%), 1 hip (2.1%), and 3 hips (6.3%) were classified under type A, C, and F, respectively. There were significantly fewer greater trochanteric complications in the posterior group. Conclusions: The posterior knot position improved the union of the greater trochanter after BHA compared with the anterior knot position.Trial registration: We had approved IRB at our hospital clinical research review committee. Retrospectively registered.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 90%

See 2 more Smart Citations

Influence of the knot position on the union of the greater trochanter after bipolar hip arthroplasty via the modified Dall approach: A prospective non-randomized study

Kataoka

Fujita²,

Hara

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 90%

Influence of the knot position on the union of the greater trochanter after bipolar hip arthroplasty via the modified Dall approach: a prospective non-randomized study

Kataoka

Fujita

Hara

et al. 2021

BMC Musculoskelet Disord

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Background In our institute, all elderly patients with displaced femoral neck fracture were treated with cemented bipolar hemiarthroplasty (BHA) using the modified Dall approach. To our knowledge, there are no reports on the knot position of the greater trochanter reattachment. The aim of this study was to determine influence of two knot positions (anterior or posterior) on the complications of the greater trochanter. Methods This is a prospective non-randomized study conducted on 95 elderly patients (95 hips) from September 2013 to December 2017. The knot position was changed from anterior to posterior alternately. The X-ray images obtained immediately after the operation were compared with those obtained at 3 months postoperatively; thereafter, the status of the greater trochanter was classified into three types: type A, no apparent shifting and fracture; type C, over 1-mm shifting of the fragment; and type F, fracture of the greater trochanter. Results Regarding age at operation, sex, BMI, size of the greater trochanteric fragment, stem type, and surgeon, there was no significant difference between two groups. In the anterior group, 34 hips (72.3%), 5 hips (10.6%), and 8 hips (17.0%) were classified under type A, C, and F, respectively. In the posterior group, 44 hips (91.7%), 1 hip (2.1%), and 3 hips (6.3%) were classified under type A, C, and F, respectively. There were significantly fewer greater trochanteric complications in the posterior group. Conclusions The posterior knot position improved the union of the greater trochanter after BHA compared with the anterior knot position. Trial registration We had approved IRB at our hospital clinical research review committee. Retrospectively registered.

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Endofemoral Shooting Technique for Removing Well-fixed Cementless Stems

Iida

Toyoda

et al. 2022

Arthroplasty Today

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Reattachment of an osteotomized greater trochanter in total hip arthroplasty using an ultra-high molecular weight polyethylene fiber cable

Cited by 17 publications

References 21 publications

Influence of the knot position on the union of the greater trochanter after bipolar hip arthroplasty via the modified Dall approach: A prospective non-randomized study

Influence of the knot position on the union of the greater trochanter after bipolar hip arthroplasty via the modified Dall approach: A prospective non-randomized study

Influence of the knot position on the union of the greater trochanter after bipolar hip arthroplasty via the modified Dall approach: a prospective non-randomized study

Endofemoral Shooting Technique for Removing Well-fixed Cementless Stems

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