الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The rigid fixation of greater trochanter has been supported by more
and more surgeons, but the choice of fixation is still controversial.
Traditional wires are widely used because of its relatively simple
procedure and low cost. But the high failure rates also led orthopedists to
seek for other more effective fixation methods.
In recent years, the appearance of locking plates has provided
better stability for fracture fixation. These plates are widely used in
various places of the human body, so some surgeons began to use locking
plates to fix the greater trochanter fragment during hip arthroplasty
surgeries. Compared with the conventional compressing plates, locking
plates with uni-cortical screws can provide enough stability for fracture
site.
The aim of study was to compare between methods of fixation of
greater trochanter during hip arthroplasty according to type and
postoperative outcome.
This review was on Non randomized and randomized controlled
trials, prospective and retrospective studies which compare different
methods of fixation of trochanter during hip arthroplasty. The search
strategy identified 220 unique citations. Screening of titles and abstracts
identified 90 potentially relevant articles. Full text review of these articles
identified 10 studies meeting the inclusion criteria. 8 were retrospective
and 2 prospective studies.
Summary __________________________________________________________
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The main results of the study revealed that:
A total of 474 patients were included with M\F: 169\305 and
mean age: 69.13 years
Mean follow up period was 40 months, min-max 6 -80.4
Claw Plate in 2 studies, hook plate in 3 study, Cable
Plate in 2 studies, K-wires in 2 studies and intra-osseus
sutures in 1 study
398 cases showed complete union and nonunion was founded
in 76 cases
Mean HARRIS hip before was 48.9 which increased to 83.1
after treatment
Regarding restored the abductor function, mentioned in 2
studies and was in 88 cases.
Mean VAS pre was 7.1 which decreased to 3.2 post operation
A total of 198 complications were founded in form of A total
of 198 complications were founded in form of broken cable
(1), Limping (60), Nonunion (76), Symptomatic trochanteric
bursitis (2), Pain (63).
10 studies were included mentioned union rate shows highly
significant differences between included studies p-value<
0.001, I2 (inconsistency) 98.26% and 95% CI for I2 was 97.69
– 98.69
10 studies were included mentioned nonunion rate shows
highly significant differences between included studies pvalue<
0.001, I2 (inconsistency) 75.12% and 95% CI for I2
was 53.64 – 86.64
Summary __________________________________________________________
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10 studies were included mentioned complications shows
highly significant differences between included studies pvalue<
0.001, I2 (inconsistency) 95.03% and 95% CI for I2
was 92.62 – 96.65
Based on our results we recommend for further studies on larger patients
and longer period of follow up to emphasize our conclusion.