Published November 23, 2020 | Version v1
Journal article Open

The Management of Periprosthetic Greater Trochanter Fractures: A Review

  • 1. Guy's and St Thomas' NHS Foundation Trust, Westminster Bridge Road, London, SE1 7EH

Description

Abstract

Introduction: Despite periprosthetic greater trochanter fractures being a common injury, relatively little has been published specific to their management. This review explores the available evidence, including 6 case series detailing information regarding fracture classification, indications for fixation and fixation methods.

Materials and Methods: A literature search of Embase and MEDLINE databases from 1946 to March 2020 was conducted using a broad search strategy to identify all relevant published data.

Results: Six level IV studies alongside several case reports were identified and included in this review.

Conclusions: Comprehensive guidance based purely on quantative data is not possible, due to limited published evidence. However, this review collates and summarises the currently available evidence on how and when to treat these injuries, including a treatment algorithm.

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