Hip & pelvis

  • 제36권3호
  • /
  • Pages.223-230
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  • 2024
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  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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Cement Filling Technique to Prevent Greater Trochanter Displacement in Hip Arthroplasty for Femoral Intertrochanteric Fracture: A Technical Note

  • Byung-Chan Choi (Department of Orthopedic Surgery, Keimyung University Dongsan Hospital) ;
  • Kyung-Jae Lee (Department of Orthopedic Surgery, Keimyung University Dongsan Hospital) ;
  • Eun-Seok Son (Department of Orthopedic Surgery, Keimyung University Dongsan Hospital) ;
  • Byung-Woo Min (Department of Orthopedic Surgery, Keimyung University Dongsan Hospital)
  • 투고 : 2023.12.02
  • 심사 : 2024.02.06
  • 발행 : 2024.09.01
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초록

With the increasing use of primary hip arthroplasty for management of intertrochanteric fractures, firm fixation and union of the greater trochanteric (GT) fragment are required during hip arthroplasty for management of intertrochanteric fractures. Various methods have been suggested to address this issue. However, displacement of the GT is a frequent occurrence. We have introduced a cement-filling technique for performance of hip arthroplasty of the proximal femur for achievement of immediate firm fixation of the GT. Cement filling during performance of hip arthroplasty for management of femoral intertrochanteric fractures is a valuable technique for preventing displacement of the GT and to encourage early mobilization.

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과제정보

We give special thanks to Mi-Kyung Kang for supporting this report.

참고문헌

  1. Jegathesan T, Kwek EBK. Are intertrochanteric fractures evolving? Trends in the elderly population over a 10-year period. Clin Orthop Surg. 2022;14:13-20. https://doi.org/10.4055/cios20204 
  2. Shin WC, Lee SM, Moon NH, Jang JH, Choi MJ. Comparison of cephalomedullary nails with sliding hip screws in surgical treatment of intertrochanteric fractures: a cumulative meta-analysis of randomized controlled trials. Clin Orthop Surg. 2023;15:192-202. https://doi.org/10.4055/cios22103 
  3. Kim MW, Chung YY, Lim SA, Shim SW. Selecting arthroplasty fixation approach based on greater trochanter fracture type in unstable intertrochanteric fractures. Hip Pelvis. 2019;31:144-9. https://doi.org/10.5371/hp.2019.31.3.144 
  4. Chang SM, Zhang YQ, Du SC, et al. Anteromedial cortical support reduction in unstable pertrochanteric fractures: a comparison of intra-operative fluoroscopy and post-operative three dimensional computerised tomography reconstruction. Int Orthop. 2018;42:183-9. https://doi.org/10.1007/s00264-017-3623-y
  5. Liu L, Sun Y, Wang L, et al. Total hip arthroplasty for intertrochanteric fracture fixation failure. Eur J Med Res. 2019;24:39. https://doi.org/10.1186/s40001-019-0398-1 
  6. Nho JH, Seo GW, Kang TW, Jang BW, Park JS, Suh YS. Bipolar hemiarthroplasty in unstable intertrochanteric fractures with an effective wiring technique. Hip Pelvis. 2023;35:99-107. https://doi.org/10.5371/hp.2023.35.2.99 
  7. Sidhu AS, Singh AP, Singh AP, Singh S. Total hip replacement as primary treatment of unstable intertrochanteric fractures in elderly patients. Int Orthop. 2010;34:789-92. https://doi.org/10.1007/s00264-009-0826-x 
  8. Lee YK, Kim JT, Alkitaini AA, Kim KC, Ha YC, Koo KH. Conversion hip arthroplasty in failed fixation of intertrochanteric fracture: a propensity score matching study. J Arthroplasty. 2017;32:1593-8. https://doi.org/10.1016/j.arth.2016.12.018 
  9. Oe K, Iida H, Kobayashi F, et al. Reattachment of an osteotomized greater trochanter in total hip arthroplasty using an ultra-high molecular weight polyethylene fiber cable. J Orthop Sci. 2018;23:992-9. https://doi.org/10.1016/j.jos.2018.07.020 
  10. Tetreault AK, McGrory BJ. Use of locking plates for fixation of the greater trochanter in patients with hip replacement. Arthroplast Today. 2016;2:187-92. https://doi.org/10.1016/j.artd.2016.09.006