Acta Chir Orthop Traumatol Cech. 2017; 84(2):138-140 | DOI: 10.55095/achot2017/021

Cerclage Breakage in Trochanteric Revision - High Risk for Hip Endoprosthesis?Case report

M. J. KRAUS, A. M. NOWAKOWSKI*
Department of Orthopaedic and Trauma Surgery, University Hospital Basel, Switzerland

We report a 72-year-old man who underwent fixation with a multifilament cerclage system after a peri-prosthetic trochanteric fracture (Vancouver A1). Failure of cerclage occurred after 23 month and revision of trochanteric attachment was performed due to non-union. Intraoperatively fragments of the cable were found between prosthesis head and liner. Cup and head were changed and the greater trochanter was re-attached after allograft-impaction. Based on the present case report multifilament cerclage cables should be used with precaution and might require a close and frequent follow-up given the possibility of cerclage breakage and consecutive catastrophic wear by migration of cerclage particles.

Keywords: cerclage, cerclage breakage, greater trochanter, revision

Published: April 1, 2017  Show citation

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KRAUS MJ, NOWAKOWSKI AM. Cerclage Breakage in Trochanteric Revision - High Risk for Hip Endoprosthesis? Acta Chir Orthop Traumatol Cech. 2017;84(2):138-140. doi: 10.55095/achot2017/021. PubMed PMID: 28809632.
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