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International Orthopaedics
Published in: International Orthopaedics 6/2010

01-08-2010 | Original Paper

Reattachment of the greater trochanter in total hip arthroplasty: the pin-sleeve system compared with the Dall-Miles cable grip system

Authors: Naonobu Takahira, Moritoshi Itoman, Katsufumi Uchiyama, Sumitaka Takasaki, Kensuke Fukushima

Published in: International Orthopaedics | Issue 6/2010

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Abstract

The purpose of this study was to compare two different types of fixation systems used to reattach the greater trochanter after revision or total hip arthroplasty. This is a retrospective review of the results of patients that were treated with the two systems. We reviewed the clinical and radiological records of 35 hips with the Dall-Miles cable grip system (DMCGS) and 42 hips with the pin-sleeve system (PSS); follow-up averaged 24 months (range, 4–54) and 30 months (range, 11–42), respectively. The incidences of unsatisfactory clinical and radiological results in the PSS group was less than half that in the DMCGS group. Significant differences were found between the groups with respect to discomfort, tenderness, pain on motion, cable fragmentation, and bone absorption. Compared with the DMCGS, these results suggest the PSS could be the instrument of choice for re-attachment of the greater trochanter in hip arthroplasty.
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Metadata
Title
Reattachment of the greater trochanter in total hip arthroplasty: the pin-sleeve system compared with the Dall-Miles cable grip system
Authors
Naonobu Takahira
Moritoshi Itoman
Katsufumi Uchiyama
Sumitaka Takasaki
Kensuke Fukushima
Publication date
01-08-2010
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 6/2010
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-0989-5

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