Management of Isolated Greater Trochanter Fractures Associated With Total Hip Arthroplasty.

J Am Acad Orthop Surg · Dec 22 2023 · Review

Fraval A, Hegeman EM, Krueger CA

From the Rothman Orthopedic Institute at Thomas Jefferson University (Fraval, and Krueger), and Department of…

Adult Reconstruction Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis review synthesizes management strategies for isolated greater trochanter fractures occurring intraoperatively or postoperatively in primary and revision total hip arthroplasty, given the lack of consensus guidelines.
Abstract, as published

Periprosthetic hip fractures are recognized complications associated with total hip arthroplasty. Over the past decade, there has been a 2.5-fold increase in the incidence of periprosthetic fractures which is expected to grow exponentially in the future. Most of these fractures require surgical fixation or revision arthroplasty. Fractures of the greater trochanter represent a subset of periprosthetic fractures for which there is currently no consensus in the literature regarding the optimal management. The purpose of this review was to outline the management strategies available to address these fractures, with formulation of recommendations for fractures sustained intraoperatively, postoperatively, and in the setting of primary and revision total hip arthroplasty.

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