Reattachment of the greater trochanter after hip replacement.
A method of performing a biplanar intracapsular trochanteric osteotomy with a Gigli saw was designed and tested prospectively in 431 cases of Charnley low friction arthroplasty. Three methods of trochanteric reattachment were tested, and a double cross-over wire with a compression spring was best; this method was successful in 222 out of 226 patients (98.2%), of which half were revision operations. Adduction seemed to be the main movement leading to trochanteric detachment.
D001864:Bone Wires; D005260:Female; D005269:Femur / Q000601:surgery*; D006621:Hip Joint / Q000502:physiology; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009068:Movement; D010027:Osteotomy / Q000379:methods*; D011182:Postoperative Care; D012086:Reoperation; D013525:Surgical Instruments