[Iatrogenic avulsion of the greater trochanter during prosthetic replacement of the hip].
An iatrogenic avulsion of the greater trochanter occurring during prosthetic hip replacement after a fracture of the neck of the femur is a rare complication. The need for maximum internal rotation of the limb during the operation imposes serious mechanical stress on the greater trochanter in patients who are often elderly and whose bones are osteoporotic. Two case reports illustrate that a conservative management--without internal fixation--combined with early mobilisation is successful. Our view is based on the current, international opinion that conservative management with early mobilisation is preferable for isolated traumatic avulsion of the greater trochanter, even if there is wide displacement.
Klinik und Poliklinik für Unfall- und Handchirurgie, Westfälische Wilhelms-Universität, Münster.
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Probst
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Wetterkamp
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Neuber
D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods / Q000534:rehabilitation; D005260:Female; D005265:Femoral Neck Fractures / Q000209:etiology* / Q000628:therapy; D005269:Femur / Q000378:metabolism / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D013314:Stress, Mechanical
Der iatrogene Trochanter-major-Abriss bei prothetischer Versorgung medialer Schenkelhalsfrakturen.