title: Trochanteric fixation using a third-generation cable device--minimum follow-up of 3 years.
abstract: Third-generation trochanteric fixation cable systems are designed to overcome implant breakage, nonunion, and bony escape. The study prospectively assessed the functional and radiologic outcomes using such an implant. Forty-seven trochanteric fixations in 46 patients were performed over 4 years at 2 institutions using the Accord Cable Plate system (Smith and Nephew, Memphis, Tenn). Serial evaluation at a mean follow-up of 57 months demonstrated that the mean Harris hip scores improved from 52.3 preoperatively to 88.2 postoperatively (P < .001), and the mean pain score improved from 6.2 to 2.3, respectively (P < .001). No cable breakage, fretting, or fraying occurred. There were 2 cases of nonunion. A third-generation cable system appears to improve upon early-generation implants and provide favorable outcomes for reattachment of a trochanteric fragment in a variety of clinical scenarios.
authors: Department of Orthopaedic Surgery, University College Hospital, London, UK.
authors: Shelain
authors: S
authors: Patel
authors: Juan A
authors: JA
authors: Soler
authors: Moataz
authors: M
authors: El-Husseiny
authors: Derek J
authors: DJ
authors: Pegg
authors: Johan D
authors: JD
authors: Witt
authors: Fares S
authors: FS
authors: Haddad
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000379:methods*; D004867:Equipment Design; D005260:Female; D005269:Femur / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013997:Time Factors