title: [Treatment of greater trochanter fracture after total hip replacement].
abstract: OBJECTIVE
  To explore the treatment of greater trochanter fracture after total hip replacement (THR).
  
  
  METHODS
  This series consisted of 3 males and 8 females with fractures of greater trochanter after total or partial hip replacement from 2004 to 2009. The mean age at the time of fracture diagnosis was 69 years old (range: 52 - 79). Two fractures were seen on radiograph at Day 2 postoperation and 3 found during a regular follow-up within the first 7 months after primary THR. They had no symptoms. Six patients fell and five of them occurred over 2 years after THR. The average migration between trochanter and proximal femur were 12 mm (range: 3 - 38). Ten cases underwent protected weight bearing for 6 - 12 weeks and avoidance of active abduction until union was complete or there was no pain. Only one case suffered hip dislocation with a 38-mm migration and underwent operative repair of greater trochanter with suture. Hip pain, instability, range of motion and Trendlenburg gait were examined during a regular follow-up. Evaluations of fracture migration and bone healing were performed from the radiograph of AP and lateral views of hip.
  
  
  RESULTS
  There was no patient loss. The mean follow-up period was 40 months (range: 12 - 68). All had nearly normal function and no symptoms at the latest follow-up. For 10 non-operatively treated cases, the fractures remained non-displaced and the Trendlenburg sign was negative at the final visit. Bone healing occurred in 5 patients. Fibrous union occurred in another 6 patients.
  
  
  CONCLUSIONS
  The post-THR fractures of greater trochanter are usually stable and may be treated non-operatively.
authors.affiliation: Department of Orthopedics, Yangquan Second People's Hospital, Shanxi 045011, China. guke123@163.com
authors.forename: Hai-Chang
authors.initials: HC
authors.lastname: Liu
authors.forename: Gang
authors.initials: G
authors.lastname: Liu
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery; D006620:Hip Fractures / Q000209:etiology* / Q000628:therapy*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D012189:Retrospective Studies