Short-Term Outcomes of a Reinforced Greater Trochanter Stabilization Technique in Revision Total Hip Arthroplasty After Periprosthetic Fracture: A Novel Technique and Case Series

Authors

Noah Hodson, Henry Ford HealthFollow
Phillip McKegg, Henry Ford HealthFollow
Alexander Driessche, Henry Ford HealthFollow
Hamza M. Raja, Henry Ford HealthFollow
Mazen Zamzam, Henry Ford HealthFollow
W. Trevor North, Henry Ford HealthFollow
Michael A. Charters, Henry Ford HealthFollow

Recommended Citation

Hodson N, McKegg PC, Driessche A, Raja H, Zamzam M, North T, and Charters M. Short-Term Outcomes of a Reinforced Greater Trochanter Stabilization Technique in Revision Total Hip Arthroplasty After Periprosthetic Fracture: A Novel Technique and Case Series. Arthroplasty Today 2025;34:101779.

Document Type

Article

Publication Date

8-1-2025

Publication Title

Arthroplast Today

Abstract

This preliminary study introduces a novel surgical technique for short-term fixation of greater trochanter fractures, in periprosthetic fractures, using nonabsorbable sutures and a metal cable, supported by a case series of 6 patients. The technique employs a 1.8-mm cable and 3 #5 nonabsorbable sutures, anchored through the trochanter and secured at the abductor tendon, with sequential tying to ensure stability. Among the 6 patients (mean age 77.3 ± 9.2 years), all demonstrated callus formation of the trochanteric fragment at final follow-up, with minimal migration relative to initial postoperative imaging (mean 2.1 ± 2.3 mm). At follow-up, ambulatory status included: 2 patients using walkers, 1 wheelchair-bound (preoperatively), and 3 ambulating independently. These outcomes suggest that this technique reduces hardware reliance and improves load distribution, promoting functional recovery.

PubMed ID

40761692

Volume

34

First Page

101779

Last Page

101779