title: Treatment of symptomatic greater trochanteric fracture after total hip arthroplasty.
abstract: Isolated greater trochanter fractures after total hip arthroplasty are associated with major comorbidities such as debilitating weakness, pain, and dislocation. No definitive standard of care has been established for these fracture. However, it is well known that reestablishing osseous union in these patients is strongly associated with return of functional status. We report a case of an elderly patient with multiple hip revision surgeries now presenting with unilateral greater trochanter fracture. Treatment incorporated the use of a trochanteric claw plate, cerclage wiring, and adjuvant demineralized bone matrix allograft to achieve successful osseous union. This is the first reported use of adjuvant demineralized bone matrix for fixing these fractures.
authors.affiliation: Hahnemann University Hospital, 245 N 15th St., MS 420, Philadelphia, PA 19102, USA.
authors.forename: Jeffrey I
authors.initials: JI
authors.lastname: Peretz
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Chuang
authors.forename: Douglas L
authors.initials: DL
authors.lastname: Cerynik
authors.forename: Norman A
authors.initials: NA
authors.lastname: Johanson
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D001857:Bone Matrix / Q000637:transplantation; D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods; D001864:Bone Wires; D005260:Female; D006620:Hip Fractures / Q000209:etiology / Q000601:surgery*; D006801:Humans; D011475:Prosthesis Failure; D012086:Reoperation; D016896:Treatment Outcome