Document Detail

Trochanteric fixation by cable grip in hip replacement.
MedLine Citation:
PMID:  2071639     Owner:  NLM     Status:  MEDLINE    
We used the stainless steel cable grip system described by Dall and Miles in 1983 to fix trochanters in 40 hips after total arthroplasty with trochanteric osteotomy. The cable broke in 32.5% of the hips; the trochanter failed to unite in 37.5%. Significantly more cables broke when placed inside the femoral canal than when the cable was placed round the femoral shaft (58% as against 9.5%, difference p less than 0.01). The high incidence of breakage may have resulted from contact between the stainless steel cable and the titanium prosthesis, from the acute angulation, or because of the lower fatigue strength of stainless steel. Better results have been obtained using cables with a higher fatigue strength, passed outside the proximal femur.
M A Ritter; L E Eizember; E M Keating; P M Faris
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  73     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  1991 Jul 
Date Detail:
Created Date:  1991-08-22     Completed Date:  1991-08-22     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  580-1     Citation Subset:  AIM; IM    
Center for Hip and Knee Surgery, Mooresville, Indiana.
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MeSH Terms
Aged, 80 and over
Equipment Failure
Femur / radiography,  surgery*
Follow-Up Studies
Hip Prosthesis / methods*
Middle Aged
Orthopedic Fixation Devices / standards*
Osteotomy / methods*
Stainless Steel / adverse effects,  standards*
Tensile Strength
Reg. No./Substance:
12597-68-1/Stainless Steel

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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