Complications of a cable grip system

From a group of 643 total hip arthroplasties, 98 patients required trochanteric osteotomies, and in 68 the trochanteric osteotomies were repaired with the Dall-Miles cable grip system (Howmedica, Rutherford, NJ). Trochanteric nonunion occurred in 17 of these patients (25%), with fraying and fragment...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty 1996-06, Vol.11 (4), p.400-404
Main Authors: Silverton, Craig D., Jacobs, Joshua J., Rosenberg, Aaron G., Kull, Laura, Conley, Arthur, Galante, Jorge O.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Bone Wires
cable
complication
Female
Femur - diagnostic imaging
Femur - surgery
Follow-Up Studies
Foreign-Body Migration - diagnostic imaging
Foreign-Body Migration - etiology
Foreign-Body Migration - surgery
Hip Prosthesis - adverse effects
Humans
Internal Fixators
Male
Middle Aged
nonunion
osteotomy
Osteotomy - methods
Postoperative Complications
Radiography
Reoperation
Retrospective Studies
trochanter
wire
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:From a group of 643 total hip arthroplasties, 98 patients required trochanteric osteotomies, and in 68 the trochanteric osteotomies were repaired with the Dall-Miles cable grip system (Howmedica, Rutherford, NJ). Trochanteric nonunion occurred in 17 of these patients (25%), with fraying and fragmentation of the cable present in 15 (88%). Of the 51 patients with radiographic union, 18 (35%) also had signs of fraying and fragmentation. Bone destruction around the cable in the area of the lesser trochanter was seen in seven patients (10%). Large deposits of metal debris at the inferior border of the acetabulum were seen in eight hips (12%). Multifilament cable did not appear to offer significant advantages over standard monofilament wire, and the potential problems of fraying, fragmentation, and free-floating metallic debris must be considered.
ISSN:0883-5403
1532-8406
DOI:10.1016/S0883-5403(96)80029-5