{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T21:35:45Z","timestamp":1769636145441,"version":"3.49.0"},"reference-count":18,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MPs"],"abstract":"<jats:p>Introduction: Management of trochanteric fractures in revision hip surgery has a high incidence of non-union and complications. Fixation devices are often bulky, prone to breakage, and necessitate reoperation. This study describes a novel soft tissue and bony abductor repair that reduces the forces on bony fragments without the need for prominent metalwork. Methods: This novel surgical technique involves fixation of the abductor mechanism with polyester and polyethylene sutures that are woven through the abductors and secured to the femoral shaft with a proprietary suture cerclage tape with cerclage wire supplementation in select cases. All patients undergoing fixation were retrospectively reviewed with a minimum follow-up period of 12 months. Outcomes relating to dislocation, reoperation, fracture union and the incidence of symptomatic Trendelenburg gait were recorded. Results: A total of 17 patients underwent this novel intervention. There were no dislocations or reoperations for prominent metalwork at the last follow-up. One patient had evidence of greater trochanter (GT) non-union, and three had GT displacement of over 3 mm. Eight (47.1%) patients were independently mobile and seven (41.2%) were mobile with only one walking aid. No patients required plate or bolt fixation. Conclusions: GT fractures and abductor deficiency are difficult to manage, with most reported methods utilising bulky metalwork to treat a soft tissue injury. We describe a novel combined soft tissue and bony fixation without the need for excessive metalwork. Our pilot study demonstrates satisfactory outcomes of this intervention that are technically reproducible and more appropriately addresses the deforming forces involved with a low complication profile.<\/jats:p>","DOI":"10.3390\/mps9010019","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T08:48:04Z","timestamp":1769590084000},"page":"19","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Novel Combined Soft Tissue and Bony Repair of Trochanteric Fractures in Revision Hip and Periprosthetic Fractures\u2014Greater Trochanteric Abductor Tendon Augmentation (GTATA)"],"prefix":"10.3390","volume":"9","author":[{"given":"Nina","family":"Handzewniak","sequence":"first","affiliation":[{"name":"Royal Free London NHS Foundation Trust, Pond Street, London NW3 2QG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abid","family":"Mahmood","sequence":"additional","affiliation":[{"name":"Maidstone and Tunbridge Wells NHS Trust, Tonbridge Road, Royal Tunbridge Wells TN2 4QJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Canan","family":"Metin","sequence":"additional","affiliation":[{"name":"Royal Free London NHS Foundation Trust, Pond Street, London NW3 2QG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahnawaz","family":"Khan","sequence":"additional","affiliation":[{"name":"Royal Free London NHS Foundation Trust, Pond Street, London NW3 2QG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanvir","family":"Khan","sequence":"additional","affiliation":[{"name":"Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore HA7 4LP, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6003-207X","authenticated-orcid":false,"given":"Henry","family":"Atkinson","sequence":"additional","affiliation":[{"name":"Royal Free London NHS Foundation Trust, Pond Street, London NW3 2QG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"143","DOI":"10.5301\/HIP.2013.10813","article-title":"Fractures of the greater trochanter following total hip replacement","volume":"23","author":"Brun","year":"2013","journal-title":"Hip Int."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1007\/s00167-020-06320-x","article-title":"A roadmap to develop clinical guidelines for open surgery of acute and chronic tears of hip abductor tendons","volume":"29","author":"Kenanidis","year":"2021","journal-title":"Knee Surg. 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Res."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.1016\/j.arth.2017.01.017","article-title":"Greater Trochanteric Reattachment Using the Third-Generation Cable Plate System in Revision Total Hip Arthroplasty","volume":"32","author":"Kim","year":"2017","journal-title":"J. Arthroplast."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/j.arth.2007.09.016","article-title":"Claw plate fixation of the greater trochanter in revision total hip arthroplasty","volume":"24","author":"Zarin","year":"2009","journal-title":"J. Arthroplast."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.artd.2016.09.006","article-title":"Use of locking plates for fixation of the greater trochanter in patients with hip replacement","volume":"2","author":"Tetreault","year":"2016","journal-title":"Arthroplast. 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Arthroplast."}],"container-title":["Methods and Protocols"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2409-9279\/9\/1\/19\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T09:16:09Z","timestamp":1769591769000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2409-9279\/9\/1\/19"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,28]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["mps9010019"],"URL":"https:\/\/doi.org\/10.3390\/mps9010019","relation":{},"ISSN":["2409-9279"],"issn-type":[{"value":"2409-9279","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,28]]}}}