Journal of Musculoskeletal Trauma

Dong Hyeok Choi

1 Article

Fixation of the Greater Trochanter in Arthroplasty for Unstable Intertrochnateric Fracture: Dong Hyeok Choi, Ju Yeong Heo, Young Jae Jang, Young Yool Chung; J Korean Fract Soc 2014;27(1):58-64. Published online January 31, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.1.58

PURPOSE
We classified fractures of the greater trochanter (GT) and evaluated fracture fragment stability according to GT type.
MATERIALS AND METHODS
A total of 43 patients with an unstable intertrochanteric fracture treated between January 2007 and July 2009 with bipolar hemiarthroplasty were included in this study. GT fractures were classified as type A, B, C, or D and fixed using either cerclage wiring alone, cerclage wiring and non-absorbable suture or a greater trochanteric reattachment (GTR) plate.
RESULTS
Type A fractures were fixed using cerclage wiring with non-absorbable suture in two cases, cerclage wiring in six cases and GTR plate in seven cases. Failure occurred in three cases of type A fractures treated with cerclage wiring alone. A total of 11 type B fractures were fixed with cerclage wiring (7), cerclage wiring and non-absorbable suture (3) and GTR plate (1). There was no failure of type B fractures. Type C fractures were fixed using cerclage wiring with non-absorbable suture in one case and GTR plate in three. There was no fixation in three cases. Of 10 type D fractures, six were treated with cerclage wiring and one with GTR plate. Fixation was not performed in three patients. There was no failure in type C and D type fractures.
CONCLUSION
Fracture fragment stability differed according to fracture types. Cerclage wiring alone was insufficient to fix type A fractures, so type A fracture required a stronger fixation method.

Citations

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Clinics in Orthopedic Surgery.2021; 13(4): 468. CrossRef
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Orthopaedics & Traumatology: Surgery & Research.2019; 105(1): 41. CrossRef
Selecting Arthroplasty Fixation Approach Based on Greater Trochanter Fracture Type in Unstable Intertrochanteric Fractures
Min-Wook Kim, Young-Yool Chung, Sung-an Lim, Seung-Woo Shim
Hip & Pelvis.2019; 31(3): 144. CrossRef

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