Clarke R P, Shea W D, Bierbaum B E
Clin Orthop Relat Res. 1979 Jun(141):102-110.
Problems and complications following trochanteric osteotomy in 277 total hip replacements demonstrated that while the value of trochanteric osteotomy is obvious, the incidence of problems and complications in 277 total hip replacements was about 15%. Analysis was made of the location and sequence of wire failure following different techniques of trochanteric wiring. The usual method of wire failure was by fatigue fracture, although early fracture in the post-operative phase may be secondary to tensile failure, The incidence of wire tensile failure can be increased by inadvertent kinking or scoring of the wire during trochanteric fixation. An ununited trochanter should be protected against wire failure and its sequelae.
277例全髋关节置换术中转子截骨术后的问题及并发症表明，虽然转子截骨术的价值显而易见，但277例全髋关节置换术中问题及并发症的发生率约为15%。对不同转子钢丝固定技术后钢丝断裂的位置和顺序进行了分析。钢丝断裂的常见方式是疲劳骨折，尽管术后早期骨折可能继发于拉伸断裂，在转子固定过程中，钢丝意外扭结或刻痕会增加钢丝拉伸断裂的发生率。未愈合的转子应防止钢丝断裂及其后遗症。
