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Related Experiment Videos

Complications of a cable grip system

C D Silverton1, J J Jacobs, A G Rosenberg

  • 1Department of Orthopaedic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL 60612, USA.

The Journal of Arthroplasty
|June 1, 1996
PubMed
Summary

The Dall-Miles cable grip system for trochanteric osteotomies in total hip arthroplasty showed a high rate of cable failure (25% nonunion) and fragmentation. This suggests multifilament cables offer no significant advantage over monofilament wire.

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Trochanteric osteotomies are performed in total hip arthroplasty (THA) to improve exposure.
  • The Dall-Miles cable grip system is used for trochanteric osteotomy repair.

Purpose of the Study:

  • To evaluate the efficacy and complications of the Dall-Miles cable grip system in repairing trochanteric osteotomies.
  • To compare multifilament cable performance with standard monofilament wire.

Main Methods:

  • Retrospective review of 68 patients undergoing THA with Dall-Miles cable grip repair.
  • Analysis of radiographic union, nonunion, cable integrity, and presence of metallic debris.

Main Results:

  • Trochanteric nonunion occurred in 25% of patients.

Related Experiment Videos

  • Cable fraying and fragmentation were observed in 88% of nonunion cases and 35% of united cases.
  • Bone destruction and metallic debris in the acetabulum were noted in 10% and 12% of hips, respectively.

    • Conclusions:

    • The Dall-Miles cable grip system demonstrated a high failure rate, with significant cable fragmentation.
    • Multifilament cables did not show clear advantages over monofilament wire.
    • Potential complications include nonunion, cable fragmentation, and metallic debris, necessitating careful consideration.