ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2016
Greater trochanter chip fractures in the direct anterior approach for total hip arthroplasty.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 25 citations in OpenAlex.
- Ten-year migration analysis of a cementless metaphyseal-anchored short femoral stem in total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Biomechanical effects of varus stem alignment on a cementless metadiaphyseal anchoring hip stem: a biomechanical investigation.Arthroplasty (London, England) · 2026Article
- Effect of Greater Trochanteric Fractures on Patient Reported Outcomes After Direct Anterior Total Hip Arthroplasty.Arthroplasty today · 2026Article
- Influence of greater trochanteric bone density and three-dimensional morphology on perioperative greater trochanteric fracture following total hip arthroplasty via an anterolateral approach.BMC musculoskeletal disorders · 2023Article
- Risk factor analysis on perioperative greater trochanteric fracture of total hip arthroplasty via anterolateral approach.Archives of orthopaedic and trauma surgery · 2023Article
- Risk factors for intraoperative greater trochanteric fractures in hemiarthroplasty for intracapsular femoral neck fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- The direct anterior approach provokes varus stem alignment when using a collarless straight tapered stem.Archives of orthopaedic and trauma surgery · 2021Article
- Total hip arthroplasty performed by direct anterior approach - Does experience influence the learning curve?SICOT-J · 2020Article
- Orthopaedic trauma surgeons and direct anterior total hip arthroplasty: evaluation of learning curve at a level I academic institution.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2017Article
- Lessons Learned from Nonoperative Management of Greater Trochanter Fractures After Total Hip Arthroplasty.JB & JS open accessArticle
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe direct anterior approach (DAA) for the treatment of total hip arthroplasty (THA) has gained popularity in recent years. Chip fractures of the greater trochanter are frequently seen, but the risk factors for such fractures are unknown. The study aimed to identify the risk factors for chip fractures in patients undergoing primary THA by the DAA during the surgeons' learning curve. MATERIALS AND
methodsFrom November 2011 to April 2015, the first experiences of three surgeons who performed 120 THAs by the DAA (120 hips; 40 cases per beginner surgeon) were included. The incidence of chip fracture of the greater trochanter, the size of the greater trochanter as measured by computed tomography, and the patients' characteristics were retrospectively investigated.
resultsAfter exclusion of 11 hips, the remaining 109 hips were investigated. Chip fracture of the greater trochanter was identified in 32 hips (29.4 %). Univariate analysis with and without fractures showed that the width and depth of the greater trochanter were statistically significant risk factors (p = 0.02 and p < 0.001, respectively). Multivariate analysis using a logistic regression model demonstrated that the depth of the greater trochanter was an independent risk factor for chip fracture of the greater trochanter (OR 1.725; 95 % CI 1.367-2.177; p < 0.001).
conclusionThe size of the greater trochanter was identified as a risk factor for chip fracture of the greater trochanter. Novice surgeons should pay attention to the size of the greater trochanter when performing THA by the DAA.
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