Ostéosynthèse du grand trochanter par plaque et câbles dans les arthroplasties totales de hanche : technique et complications à propos de 61 cas

: The authors suggest a new system of osteosynthesis of the greater trochanter using a plate and cables. The surgical technique is simple in its realisation which allows 94.4% bone-union of the greater trochanter and almost immediate partial weight bearing by the patient. 61 patients were studied after a minimum of one year and only one case of non-union was observed. The authors recommend this technique especially in difficult arthroplasties (obesity, dysplasia) and in revision total his replacement. The trochanteric approach facilitates the extraction of the prothesis, bone cement, and reconstruction of the acetabulum. This technique may be used systematically in arthroplasties using trochanterotomy.