Reattachment of the Osteotomized Greater Trochanter in Hip Surgery Using an Ultrahigh Molecular Weight Polyethylene Fiber Cable: A Multi-Institutional Study

Seiya Jingushi, Tsutomu Kawano, Hirokazu Iida, Kenichi Oe, Kenji Ohzono, Yoshihide Nakamura, Makoto Osaki, Hidetsugu Ohara, Seung Bak Lee, Toshihiko Hara, Naohide Tomita

1Department of Orthopaedic Surgery, Kyushu Rosai Hospital, Kitakyushu, Japan.
Bioengineering Laboratory, Graduate School of Engineering, Kyoto University, Kyoto, Japan.
Department of Orthopaedic Surgery, Hirosaki University Hospital, Hirosaki, Japan.
Department of Orthopaedic Surgery, Kansai Medical University, Hirakata, Japan.
Department of Orthopaedic Surgery, Kansai Rosai Hospital, Amagasaki, Japan.
Department of Orthopaedic Surgery, Kyushu Kosei Nenkin Hospital, Kitakyushu, Japan.
Department of Orthopaedic Surgery, Kyushu Rosai Hospital, Kitakyushu, Japan.
Department of Orthopaedic Surgery, Nagasaki University Graduate School of Medical Science, Nagasaki, Japan.
Department of Orthopaedic Surgery, Osaka Medical College, Takatsuki, Japan.
Department of Rehabilitation, Toyonaka Municipal Hospital, Toyonaka, Japan.

DOI: 10.4236/ojo.2013.36052                

Abstract

The purpose of this multicenter study was to evaluate the clinical performance of an ultrahigh molecular weight polyethylene (UHMWPE) fiber cable for re-attachment of the osteotomized greater trochanter in hip surgery. Included in the study were 85 hips that had undergone surgery with greater trochanter osteotomy, including 50 hip arthroplasty procedures and 35 hip osteotomies. The osteotomized greater trochanter was reattached using one or more UHMWPE fiber cables. The bone union and displacement of the greater trochanter were assessed in radiographs for up to 12 months after surgery. Non-union of the osteotomy site occurred in 4.7% of the cases. In approximately 90% of the cases, displacement was less than 2 mm at up to 12 months after surgery. The UHMWPE fiber cable was a good biomaterial for reattaching the osteotomized greater trochanter and may also be an option for osteosynthesis procedures.

Keywords

Ultrahigh Molecular Weight Polyethylene Fiber Cable; Biomaterials; Osteosynthesis; Greater Trochanter Osteotomy; Hip Operations; Arthroplasty

Conflicts of Interest

The authors declare no conflicts of interest.

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