Document Detail

An improved method for cable grip fixation of the greater trochanter after trochanteric slide osteotomy.
MedLine Citation:
PMID:  19062247     Owner:  NLM     Status:  MEDLINE    
This study proposes a novel method for reattachment of the trochanteric slide osteotomy. The strength of this new fixation system was compared to established configurations. Fifteen sawbone femurs were used. Our configuration used cables above and below the lesser trochanter with a third cable around the shaft of the femur while passing the loose ends through the inferior hole of the cable grip. Displacement of the trochanter was measured with increasing load. Force required for catastrophic failure was also measured. The 3-cable construct resulted in significantly less displacement with increasing load and required a larger force to cause failure (1 cm and 2 cm). We theorize that our configuration produces a biomechanically stronger construct than previously used methods.
Nikhil A Thakur; Joseph J Crisco; Douglas C Moore; John A Froehlich; Richard S Limbird; James M Bliss
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-12-05
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  25     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-05-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  319-24     Citation Subset:  IM    
Copyright Information:
2010 Elsevier Inc. All rights reserved.
Department of Orthopedics, Warren Alpert Medical School at Brown University, Rhode Island Hospital, Providence, RI 02903, USA.
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MeSH Terms
Arthroplasty, Replacement, Hip / instrumentation,  methods*
Bone Screws
Femur / surgery*
Joint Instability / prevention & control
Osteotomy / instrumentation,  methods*

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