Tension Band Wiring for a Greater Trochanteric Fracture Following a Low-Energy Fall: A Case Report

Background: Greater trochanteric fractures are relatively uncommon injuries that may be underestimated on initial radiographs because of possible occult extension into the intertrochanteric region. We report the case of a 42-year-old man who presented with pain and swelling over the left hip following a self-fall on March 11, 2024. Preoperative radiography demonstrated a fracture involving the greater trochanter of the left femur. The patient underwent open reduction and internal fixation on March 26, 2024, using tension-band wiring with two stainless-steel K-wires, stainless-steel wire, a cortical screw, and a washer. Intraoperative fluoroscopy was used to assess the reduction and fixation. Immediate postoperative radiography demonstrated satisfactory alignment and positioning of the fixation construct. At two-month follow-up, radiographs showed maintained alignment and stable fixation with evidence of interval healing. This case demonstrates the use of tension-band wiring as a surgical fixation technique for a greater trochanteric fracture and provides radiographic evidence of satisfactory early fixation and healing.

Keywords: Greater trochanteric fracture; Tension band wiring; Low-energy fall; Hip fracture; Orthopedic fixation; Case report.