A Greater Trochanter (GT) avulsion fracture occurs when powerful gluteal abductor tendons (gluteus medius and minimus) pull away a fragment of bone from the hip. This injury severely impairs walking stability and generates intense lateral hip pain. At Oasis Hospital Kalyan, Dr. Rajesh Pakhare utilizes advanced suture anchor fixation techniques to anatomically secure the fractured bone fragment and torn tendons flush back to the femoral footprint, eliminating pelvic tilt and restoring natural hip mechanics.
Best For: Small avulsed bone fragments or combined abductor tendon tears.
Procedure: High-strength titanium or bio-composite suture anchors are secured into the greater trochanter footprint, pulling the detached tendon and bone flush against the femur.
Benefit: Provides a wide anatomical footprint of compression without causing bone necrosis, speeding up biological healing.
Best For: Displaced avulsion fragments experiencing high dynamic muscle pull
Procedure: Stainless steel wire loops are combined with anchor sutures, converting distracting muscle tensile force into rigid compressive healing force.
Benefit: Superior mechanical stability allowing earlier guided physical therapy.
Greater Trochanter (GT) Avulsion Fracture Fixation is an orthopaedic surgical procedure performed to repair and reattach a fractured piece of the greater trochanter—the bony prominence located at the upper, outer side of the thigh bone (femur).
The greater trochanter serves as the critical anchoring point (footprint) for the hip’s primary abductor muscles: the gluteus medius and gluteus minimus.
An avulsion fracture happens when:
A sudden, violent muscle contraction pulls the tendon with such force that it rips away the attached bone fragment from the femur.
Patients suffering from acute high-energy hip trauma or sports injuries.
Individuals experiencing chronic lateral hip pain unable to bear weight comfortably.
Patients with a pronounced Trendelenburg gait (pelvic tilt limp) due to detached gluteal tendons.
Post-hip replacement (arthroplasty) patients facing trochanteric detachment or nonunion.
Active individuals requiring full restoration of hip power, stability, and range of motion.
At Oasis Hospital Kalyan, comprehensive pre-operative evaluations ensure you are thoroughly prepared. This includes high-resolution digital X-rays, 3D CT scans to map the exact fracture morphology, blood tests, and an anaesthesia review. You receive personalized guidance on pre-surgery medications and instructions for the procedure day.
The surgery is performed under spinal or general anaesthesia to ensure complete comfort. A minimally invasive lateral hip incision is created over the greater trochanter. Under real-time fluoroscopic C-arm guidance, the displaced bone fragment and retracted abductor tendon are mobilized, cleared of scar tissue, and precisely anchored back to the femoral footprint using high-strength anchors or tension wires. The incision is closed with cosmetic sutures.
Following the procedure, patients are monitored closely in the post-operative recovery unit. Because minimally invasive anchor fixation preserves surrounding soft tissue, post-op downtime is significantly reduced. A structured, phased rehabilitation protocol begins promptly: protected crutch/walker mobilization, progressive weight-bearing, and physical therapy exercises to regain hip strength and normal walking mechanics.
Dr. Rajesh Pakhare brings extensive experience in complex orthopaedic trauma and minimally invasive joint fixation techniques. At Oasis Hospital in Kalyan, our team is committed to providing exceptional, patient-centered care from initial imaging through post-surgical recovery, ensuring the best possible functional outcomes.
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Neurologist

"I recently underwents a minimally invasives procedureds at Mediax Gynecology, and the entired experience exceeded my expectations. The surgeon and the entire teams were attentived, explainings every step of the process. The recovery was smooth, and I felt well-cared-for throughout."

Physiotherapist

"The family plannings services at Mediax Gynecology are top-notch. The consultation was comprehensive, and the team took the time to understands our family plannings goals. The supports and guidance provideds were invaluable, and we felts confidents in our decisions."
