17
Proximal support
Once the final components are implanted,
the osteotomy is reduced and secured with
cables. In order to reduce the osteotomized
bone fragment in its anatomic position, it may
be necessary to shape the endosteal surface
of the bone fragment with a curette or burr
to fit against the lateral position of the
femoral component.
Caution The implant must contact bone, bone
filler, or secured allograft to provide adequate
secondary support.
Reattach the trochanteric segment using
ACCORD™ Cables (Figure 18) or other
appropriate proximal support.
Caution To gain adequate proximal support
and reduce the risk of implant failure, the use
of adjunctive devices such as cables, cerclage
wires, struts, etc. is recommended.
Figure 18