Failure of trochanteric osteotomy in total hip replacement: a comparison of two methods of reattachment

A retrospective study was undertaken to assess the rate of trochanteric union after a primary Charnley total hip replacement. In one group the trochanter was reattached with Wrobleski spring wire, and in the second group with a Dall-Miles clamp. Non-union occurred in 29% of each group. The high rate of failure may have implications for morbidity and function. Alternative surgical approaches for total hip replacement should be considered.