Greater Trochanter

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Jean Pierre Courpied - One of the best experts on this subject based on the ideXlab platform.

  • reattachment of the ununited Greater Trochanter following total hip arthroplasty
    Journal of Bone and Joint Surgery American Volume, 2004
    Co-Authors: Moussa Hamadouche, Oubke Znibe, Valerie Dumaine, M Kerboull, Jean Pierre Courpied
    Abstract:

    BACKGROUND: The purpose of this retrospective study was to analyze the utility of a Trochanteric claw plate in the treatment of an ununited Greater Trochanter following total hip arthroplasty. METHODS: From 1986 through 1999, seventy-two consecutive procedures to reattach an ununited Greater Trochanter were performed in seventy-one patients. The average age at the time of the index arthroplasty was 66.2 years. The arthroplasty that resulted in the nonunion of the Greater Trochanter was primary in fifty-four hips, a first revision in sixteen hips, and a second and third revision in one hip each. The mean duration between the hip replacement and the treatment of the nonunion was 8.1 months. The Greater Trochanter was fixed with the Trochanteric plate alone in forty-eight hips and with the plate in conjunction with vertical wires in the remaining twenty-four hips. The average duration of followup was 5.1 years. RESULTS: Osseous union occurred in fifty-one of the seventy-two hips. There was a persistent nonunion in twelve hips and fibrous consolidation in the remaining nine hips. The mean time to osseous consolidation was 3.7 ± 2.1 months (range, two to twelve months). The mean Merle d'Aubigne hip score was 16.1 ± 2.4 points at the time of the latest follow-up. A highly significant improvement in function was achieved only in the group with osseous consolidation (p < 0.0001). The highest rate of osseous union was achieved when vertical wires had been used in conjunction with the claw plate. Union occurred in twenty-one of the twenty-four hips in that group (p = 0.025). CONCLUSIONS: Nonunion of the Greater Trochanter following total hip arthroplasty can be successfully treated with a Trochanteric claw plate. The use of adjunctive vertical wires results in better osseous contact and union.

  • reattachment of the ununited Greater Trochanter following total hip arthroplasty the use of a Trochanteric claw plate
    Journal of Bone and Joint Surgery American Volume, 2003
    Co-Authors: Moussa Hamadouche, Oubke Znibe, Valerie Dumaine, M Kerboull, Jean Pierre Courpied
    Abstract:

    Background:The purpose of this retrospective study was to analyze the utility of a Trochanteric claw plate in the treatment of an ununited Greater Trochanter following total hip arthroplasty.Methods:From 1986 through 1999, seventy-two consecutive procedures to reattach an ununited Greater Trochanter

Moussa Hamadouche - One of the best experts on this subject based on the ideXlab platform.

  • reattachment of the ununited Greater Trochanter following total hip arthroplasty
    Journal of Bone and Joint Surgery American Volume, 2004
    Co-Authors: Moussa Hamadouche, Oubke Znibe, Valerie Dumaine, M Kerboull, Jean Pierre Courpied
    Abstract:

    BACKGROUND: The purpose of this retrospective study was to analyze the utility of a Trochanteric claw plate in the treatment of an ununited Greater Trochanter following total hip arthroplasty. METHODS: From 1986 through 1999, seventy-two consecutive procedures to reattach an ununited Greater Trochanter were performed in seventy-one patients. The average age at the time of the index arthroplasty was 66.2 years. The arthroplasty that resulted in the nonunion of the Greater Trochanter was primary in fifty-four hips, a first revision in sixteen hips, and a second and third revision in one hip each. The mean duration between the hip replacement and the treatment of the nonunion was 8.1 months. The Greater Trochanter was fixed with the Trochanteric plate alone in forty-eight hips and with the plate in conjunction with vertical wires in the remaining twenty-four hips. The average duration of followup was 5.1 years. RESULTS: Osseous union occurred in fifty-one of the seventy-two hips. There was a persistent nonunion in twelve hips and fibrous consolidation in the remaining nine hips. The mean time to osseous consolidation was 3.7 ± 2.1 months (range, two to twelve months). The mean Merle d'Aubigne hip score was 16.1 ± 2.4 points at the time of the latest follow-up. A highly significant improvement in function was achieved only in the group with osseous consolidation (p < 0.0001). The highest rate of osseous union was achieved when vertical wires had been used in conjunction with the claw plate. Union occurred in twenty-one of the twenty-four hips in that group (p = 0.025). CONCLUSIONS: Nonunion of the Greater Trochanter following total hip arthroplasty can be successfully treated with a Trochanteric claw plate. The use of adjunctive vertical wires results in better osseous contact and union.

  • reattachment of the ununited Greater Trochanter following total hip arthroplasty the use of a Trochanteric claw plate
    Journal of Bone and Joint Surgery American Volume, 2003
    Co-Authors: Moussa Hamadouche, Oubke Znibe, Valerie Dumaine, M Kerboull, Jean Pierre Courpied
    Abstract:

    Background:The purpose of this retrospective study was to analyze the utility of a Trochanteric claw plate in the treatment of an ununited Greater Trochanter following total hip arthroplasty.Methods:From 1986 through 1999, seventy-two consecutive procedures to reattach an ununited Greater Trochanter

Chine Che - One of the best experts on this subject based on the ideXlab platform.

  • surgical treatment of fractures of the Greater Trochanter associated with osteolytic lesions surgical technique
    Journal of Bone and Joint Surgery American Volume, 2006
    Co-Authors: Junwe Wang, Liangkuang Che, Chine Che
    Abstract:

    BACKGROUND: A fracture of the Greater Trochanter through an osteolytic lesion may occur as a late complication after total hip arthroplasty. The optimal treatment for this difficult complication remains controversial. We have treated this problem with internal fixation and allogeneic bone-grafting at the time of revision of a loose acetabular component. METHODS: We retrospectively reviewed the results of treatment of a fracture through an osteolytic lesion of the Greater Trochanter in nineteen patients seen from 1996 to 2002. All fractures were treated with morselized allogeneic bone grafts and wire fixation at the time of revision of a failed acetabular component. Postoperative care included the use of an abduction orthosis and protected weight-bearing for at least three months. Follow-up of all patients consisted of radiographic examinations and clinical evaluation with use of the Harris hip score. RESULTS: At an average duration of 3.8 years after the revision, eighteen of the nineteen fractures had healed. The average time to healing was five months. The one treatment failure occurred in a patient who did not comply with the use of an abduction orthosis. The average Harris hip score for all patients improved from 32.5 points preoperatively to 91.2 points at the time of the latest follow-up. Polyethylene wear and recurrent osteolysis of the Greater Trochanter was noted in one hip at the eight-year follow-up examination. CONCLUSIONS: Fractures of the Greater Trochanter associated with osteolytic lesions can be effectively treated with open reduction, internal fixation with wire, and allogeneic bone-grafting.

  • surgical treatment of fractures of the Greater Trochanter associated with osteolytic lesions
    Journal of Bone and Joint Surgery American Volume, 2005
    Co-Authors: Junwe Wang, Liangkuang Che, Chine Che
    Abstract:

    BACKGROUND: A fracture of the Greater Trochanter through an osteolytic lesion may occur as a late complication after total hip arthroplasty. The optimal treatment for this difficult complication remains controversial. We have treated this problem with internal fixation and allogeneic bone-grafting at the time of revision of a loose acetabular component. METHODS: We retrospectively reviewed the results of treatment of a fracture through an osteolytic lesion of the Greater Trochanter in nineteen patients seen from 1996 to 2002. All fractures were treated with morselized allogeneic bone grafts and wire fixation at the time of revision of a failed acetabular component. Postoperative care included the use of an abduction orthosis and protected weight-bearing for at least three months. Follow-up of all patients consisted of radiographic examinations and clinical evaluation with use of the Harris hip score. RESULTS: At an average duration of 3.8 years after the revision, eighteen of the nineteen fractures had healed. The average time to healing was five months. The one treatment failure occurred in a patient who did not comply with the use of an abduction orthosis. The average Harris hip score for all patients improved from 32.5 points preoperatively to 91.2 points at the time of the latest follow-up. Polyethylene wear and recurrent osteolysis of the Greater Trochanter was noted in one hip at the eight-year follow-up examination. CONCLUSIONS: Fractures of the Greater Trochanter associated with osteolytic lesions can be effectively treated with open reduction, internal fixation with wire, and allogeneic bone-grafting.

Oubke Znibe - One of the best experts on this subject based on the ideXlab platform.

  • reattachment of the ununited Greater Trochanter following total hip arthroplasty
    Journal of Bone and Joint Surgery American Volume, 2004
    Co-Authors: Moussa Hamadouche, Oubke Znibe, Valerie Dumaine, M Kerboull, Jean Pierre Courpied
    Abstract:

    BACKGROUND: The purpose of this retrospective study was to analyze the utility of a Trochanteric claw plate in the treatment of an ununited Greater Trochanter following total hip arthroplasty. METHODS: From 1986 through 1999, seventy-two consecutive procedures to reattach an ununited Greater Trochanter were performed in seventy-one patients. The average age at the time of the index arthroplasty was 66.2 years. The arthroplasty that resulted in the nonunion of the Greater Trochanter was primary in fifty-four hips, a first revision in sixteen hips, and a second and third revision in one hip each. The mean duration between the hip replacement and the treatment of the nonunion was 8.1 months. The Greater Trochanter was fixed with the Trochanteric plate alone in forty-eight hips and with the plate in conjunction with vertical wires in the remaining twenty-four hips. The average duration of followup was 5.1 years. RESULTS: Osseous union occurred in fifty-one of the seventy-two hips. There was a persistent nonunion in twelve hips and fibrous consolidation in the remaining nine hips. The mean time to osseous consolidation was 3.7 ± 2.1 months (range, two to twelve months). The mean Merle d'Aubigne hip score was 16.1 ± 2.4 points at the time of the latest follow-up. A highly significant improvement in function was achieved only in the group with osseous consolidation (p < 0.0001). The highest rate of osseous union was achieved when vertical wires had been used in conjunction with the claw plate. Union occurred in twenty-one of the twenty-four hips in that group (p = 0.025). CONCLUSIONS: Nonunion of the Greater Trochanter following total hip arthroplasty can be successfully treated with a Trochanteric claw plate. The use of adjunctive vertical wires results in better osseous contact and union.

  • reattachment of the ununited Greater Trochanter following total hip arthroplasty the use of a Trochanteric claw plate
    Journal of Bone and Joint Surgery American Volume, 2003
    Co-Authors: Moussa Hamadouche, Oubke Znibe, Valerie Dumaine, M Kerboull, Jean Pierre Courpied
    Abstract:

    Background:The purpose of this retrospective study was to analyze the utility of a Trochanteric claw plate in the treatment of an ununited Greater Trochanter following total hip arthroplasty.Methods:From 1986 through 1999, seventy-two consecutive procedures to reattach an ununited Greater Trochanter

Valerie Dumaine - One of the best experts on this subject based on the ideXlab platform.

  • reattachment of the ununited Greater Trochanter following total hip arthroplasty
    Journal of Bone and Joint Surgery American Volume, 2004
    Co-Authors: Moussa Hamadouche, Oubke Znibe, Valerie Dumaine, M Kerboull, Jean Pierre Courpied
    Abstract:

    BACKGROUND: The purpose of this retrospective study was to analyze the utility of a Trochanteric claw plate in the treatment of an ununited Greater Trochanter following total hip arthroplasty. METHODS: From 1986 through 1999, seventy-two consecutive procedures to reattach an ununited Greater Trochanter were performed in seventy-one patients. The average age at the time of the index arthroplasty was 66.2 years. The arthroplasty that resulted in the nonunion of the Greater Trochanter was primary in fifty-four hips, a first revision in sixteen hips, and a second and third revision in one hip each. The mean duration between the hip replacement and the treatment of the nonunion was 8.1 months. The Greater Trochanter was fixed with the Trochanteric plate alone in forty-eight hips and with the plate in conjunction with vertical wires in the remaining twenty-four hips. The average duration of followup was 5.1 years. RESULTS: Osseous union occurred in fifty-one of the seventy-two hips. There was a persistent nonunion in twelve hips and fibrous consolidation in the remaining nine hips. The mean time to osseous consolidation was 3.7 ± 2.1 months (range, two to twelve months). The mean Merle d'Aubigne hip score was 16.1 ± 2.4 points at the time of the latest follow-up. A highly significant improvement in function was achieved only in the group with osseous consolidation (p < 0.0001). The highest rate of osseous union was achieved when vertical wires had been used in conjunction with the claw plate. Union occurred in twenty-one of the twenty-four hips in that group (p = 0.025). CONCLUSIONS: Nonunion of the Greater Trochanter following total hip arthroplasty can be successfully treated with a Trochanteric claw plate. The use of adjunctive vertical wires results in better osseous contact and union.

  • reattachment of the ununited Greater Trochanter following total hip arthroplasty the use of a Trochanteric claw plate
    Journal of Bone and Joint Surgery American Volume, 2003
    Co-Authors: Moussa Hamadouche, Oubke Znibe, Valerie Dumaine, M Kerboull, Jean Pierre Courpied
    Abstract:

    Background:The purpose of this retrospective study was to analyze the utility of a Trochanteric claw plate in the treatment of an ununited Greater Trochanter following total hip arthroplasty.Methods:From 1986 through 1999, seventy-two consecutive procedures to reattach an ununited Greater Trochanter

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