Fracture of the greater trochanter during hip replacement: a retrospective analysis of 21/372 cases.
We reviewed retrospectively 373 total hip replacements operated on using a lateral approach with the patient in a supine position. We found 21 iatrogenic fractures of the greater trochanter, all in women. 15 cases were diagnosed during the operation and were treated with wire fixation. 6 fractures were diagnosed on radiographs during the first 3 months following the operation. 2 of these 6 cases presented in association with dislocation of the prosthesis; 1 after 6 weeks and 1 after 2 months. Displaced nonunion occurred in2 cases, 5 healed with minimal displacement and 14 with no displacement. 8 patients limped slightly at follow-up after mean 4 (1-7) years and 4 had some pain over the lateral thigh.
Hendel
David
D
Department of Orthopaedics, Rabin Medical Center, Sackler School of Medicine, Tel Aviv University, Petach Tikva, Israel. davidhe@clalit.org.il
Yasin
Mostapha
M
Garti
Avraham
A
Weisbort
Moshe
M
Beloosesky
Yichayaou
Y
D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery; D011183:Postoperative Complications; D011475:Prosthesis Failure; D011859:Radiography; D012189:Retrospective Studies