J Korean Hip Soc.  2006 Mar;18(1):67-72. 10.5371/jkhs.2006.18.1.67.

Fixation for Reattachment of Trochanteric Fragment in Pertrochanteric Fracture Treated with Bipolar Hemiarthroplasty

Abstract

Purpose
To retrospectively compare the fixation methods for reattaching a trochanteric fragment in a pertrochanteric fracture treated with bipolar hemiarthroplasty. Materials and methods: Forty cases of an unstable femur pertrochanteric fracture were analyzed and followed up for average of 19(6~40) months. There were 18 cases fixed with tension band wiring (group 1), 7 cases treated using modified tension band wiring with K-wires (group 2) and 15 cases treated with the GTRD (Greater Trochanteric Reattachment Device) (group 3). Result: Group 1 was treated with simple a surgical procedure and the results were good. The second group had firm fixation postoperatively but required additional surgery in two cases to remove the K-wires because of wire migration after ambulation. Group 3 had relatively good results but required more dissection and a longer operating time. Conclusion: Tension band wiring or GTRD are good fixation methods for reattaching trochanteric fragments in pertrochanteric fractures. Moreover, tension band wiring is recommended for old osteoporotic patients due to a simple procedure and firm fixation. The use of modified tension band wiring using K-wire or a Steinmann-pin should not be used due to the possibility of distant migration.

Keyword

Trochanteric fragment; Pertrochanteric facture; GTRD; Bipolar hemiarthroplasty

MeSH Terms

Femur*
Hemiarthroplasty*
Humans
Retrospective Studies
Walking

Cited by  4 articles

Bipolar Hemiarthroplasty Using the Greater Trochanter Reattachment Device (GTRD) for Comminuted Intertrochanteric Femur Fracture in Elderly Patients
Jin-Wan Kim, Young-Chul Ko, Chul-Young Jung, Il-Soo Eun, Hyeon-Soo Choi, Ok-Gul Kim, Young-June Kim
J Korean Fract Soc. 2009;22(4):232-238.    doi: 10.12671/jkfs.2009.22.4.232.

The Fixation Method according to the Fracture Type of the Greater Trochanter in Unstable Intertrochanteric Fractures Undergoing Arthroplasty
Doohoon Sun, Byeong-Seop Park, Gun-Il Jang, Bongjoo Lee
Hip Pelvis. 2017;29(1):62-67.    doi: 10.5371/hp.2017.29.1.62.

Wiring Techniques for the Fixation of Trochanteric Fragments during Bipolar Hemiarthroplasty for Femoral Intertrochanteric Fracture: Clinical Study and Technical Note
Joong-Myung Lee, Yongsuk Cho, Junhyun Kim, Dong-Won Kim
Hip Pelvis. 2017;29(1):44-53.    doi: 10.5371/hp.2017.29.1.44.

Selecting Arthroplasty Fixation Approach Based on Greater Trochanter Fracture Type in Unstable Intertrochanteric Fractures
Min-Wook Kim, Young-Yool Chung, Sung-an Lim, Seung-Woo Shim
Hip Pelvis. 2019;31(3):144-149.    doi: 10.5371/hp.2019.31.3.144.

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