Bilateral Greater Trochanteric Avulsion Fractures after Bilateral Simultaneous Total Hip Arthroplasty

We report a case of bilateral spontaneous greater trochanteric fracture after bilateral simultaneous total hip arthroplasty (THA) performed via the posterolateral approach during the early postoperative phase. A 75-year-old woman underwent bilateral simultaneous THA (BS-THA) for severe osteoarthriti...

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Main Authors: Hiroaki Tagomori, Nobuhiro Kaku, Tomonori Tabata, Hiroshi Tsumura
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/6596135
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author Hiroaki Tagomori
Nobuhiro Kaku
Tomonori Tabata
Hiroshi Tsumura
author_facet Hiroaki Tagomori
Nobuhiro Kaku
Tomonori Tabata
Hiroshi Tsumura
author_sort Hiroaki Tagomori
collection DOAJ
description We report a case of bilateral spontaneous greater trochanteric fracture after bilateral simultaneous total hip arthroplasty (THA) performed via the posterolateral approach during the early postoperative phase. A 75-year-old woman underwent bilateral simultaneous THA (BS-THA) for severe osteoarthritis with developmental dysplasia of the hip; she also presented a limited range of adduction. BS-THA was successful without any intraoperative complications. Rehabilitation with full weight-bearing exercises was initiated the day after the surgery. On the 14th postoperative day, she experienced a spontaneous left greater trochanteric fracture during a walking exercise without any trauma. Osteosynthesis was performed for the fracture on the 18th postoperative day. On the 20th postoperative day, a right spontaneous greater trochanteric avulsion fracture occurred during a transfer exercise without any trauma; this was treated on the 27th postoperative day. In the 18th postoperative month, although the right fragment showed slight upper migration, the patient had no complaints of coxalgia and both hip joints showed an excellent range of motion.
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spelling doaj-art-fc78f6e22dba4214be6f46cbea8f319c2025-08-20T03:06:25ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/65961356596135Bilateral Greater Trochanteric Avulsion Fractures after Bilateral Simultaneous Total Hip ArthroplastyHiroaki Tagomori0Nobuhiro Kaku1Tomonori Tabata2Hiroshi Tsumura3Department of Orthopaedic Surgery, Oita University, Oita, JapanDepartment of Orthopaedic Surgery, Oita University, Oita, JapanDepartment of Orthopaedic Surgery, Oita University, Oita, JapanDepartment of Orthopaedic Surgery, Oita University, Oita, JapanWe report a case of bilateral spontaneous greater trochanteric fracture after bilateral simultaneous total hip arthroplasty (THA) performed via the posterolateral approach during the early postoperative phase. A 75-year-old woman underwent bilateral simultaneous THA (BS-THA) for severe osteoarthritis with developmental dysplasia of the hip; she also presented a limited range of adduction. BS-THA was successful without any intraoperative complications. Rehabilitation with full weight-bearing exercises was initiated the day after the surgery. On the 14th postoperative day, she experienced a spontaneous left greater trochanteric fracture during a walking exercise without any trauma. Osteosynthesis was performed for the fracture on the 18th postoperative day. On the 20th postoperative day, a right spontaneous greater trochanteric avulsion fracture occurred during a transfer exercise without any trauma; this was treated on the 27th postoperative day. In the 18th postoperative month, although the right fragment showed slight upper migration, the patient had no complaints of coxalgia and both hip joints showed an excellent range of motion.http://dx.doi.org/10.1155/2018/6596135
spellingShingle Hiroaki Tagomori
Nobuhiro Kaku
Tomonori Tabata
Hiroshi Tsumura
Bilateral Greater Trochanteric Avulsion Fractures after Bilateral Simultaneous Total Hip Arthroplasty
Case Reports in Orthopedics
title Bilateral Greater Trochanteric Avulsion Fractures after Bilateral Simultaneous Total Hip Arthroplasty
title_full Bilateral Greater Trochanteric Avulsion Fractures after Bilateral Simultaneous Total Hip Arthroplasty
title_fullStr Bilateral Greater Trochanteric Avulsion Fractures after Bilateral Simultaneous Total Hip Arthroplasty
title_full_unstemmed Bilateral Greater Trochanteric Avulsion Fractures after Bilateral Simultaneous Total Hip Arthroplasty
title_short Bilateral Greater Trochanteric Avulsion Fractures after Bilateral Simultaneous Total Hip Arthroplasty
title_sort bilateral greater trochanteric avulsion fractures after bilateral simultaneous total hip arthroplasty
url http://dx.doi.org/10.1155/2018/6596135
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