scholarly journals Percutaneous Cerclage Wiring Combined with Cephalomedullary Nailing for Irreducible Subtrochanteric Fractures

2021 ◽  
Author(s):  
Shi‐Jie Kang ◽  
Fei‐Long Bao ◽  
Dong‐Sheng Huang ◽  
Tao Jiang ◽  
Yi‐Ming Hu ◽  
...  
Keyword(s):  
Subtrochanteric Fractures ◽  
Cephalomedullary Nailing ◽  
Cerclage Wiring

scholarly journals Does auxiliary cerclage wiring provide intrinsic stability in cephalomedullary nailing of trochanteric and subtrochanteric fractures?

2020 ◽  
Author(s):  
Julia Rehme ◽  
Alexander Woltmann ◽  
Andreas Brand ◽  
Christian von Rüden
Keyword(s):  
Femoral Fractures ◽  
Subtrochanteric Fractures ◽  
Intrinsic Stability ◽  
Registration Number ◽  
Cephalomedullary Nailing ◽  
Cerclage Wiring ◽  
Nail Insertion ◽  
The Mean ◽  
One Year

Abstract Purpose The aim of this study was to assess functional and radiological results following cephalomedullary nailing with and without use of auxiliary cable cerclages in a large series of trochanteric and subtrochanteric femoral fractures. Methods In a retrospective study of prospectively collected data between January 2014 and March 2019, a total of 260 consecutive patients (155 women and 105 men) with the diagnosis of AO/OTA A1 to A3 fractures were included. The mean age of patients was 76.4 ± 15.6 years. According to the AO/OTA classification, 72 A1 fractures, 124 A2 fractures, and 64 A3 fractures were found. In 72 patients with auxiliary cerclage wiring three A1 fractures, 27 A2 fractures and 42 A3 fractures were assessed. In the patient group with auxiliary cerclages, fracture healing according to the Radiographic Union Score for Hip (RUSH) within one year after surgery was assessed in 68 out of 72 patients (healing rate 94%). The mean RUSH in the group with cerclages was 28.7 ± 2.2 points and was 28.5 ± 2.2 points in the group without cerclages (p = 0.72). In 91 patients available for a complete follow-up, mean functional outcome according to the Lower Extremity Functional Scale (LEFS) was 65.3 ± 17.2 points in the group with cerclages versus 58.4 ± 21 points in the group without cerclages (p = 0.04). Conclusion The additional use of cerclages provides intrinsic stability and enables axial alignment and medial cortical support during anatomical fracture reduction and cephalomedullary nail insertion. In the current study, this technique resulted in significantly better functional long-term outcomes than without cerclages. Therefore, it can be recommended as a useful supportive tool especially in comminuted trochanteric and subtrochanteric fractures. Trial registration number DRKS00020550, 01/30/2020, retrospectively registered.

scholarly journals The stabilising effect by a novel cable cerclage configuration in long cephalomedullary nailing of subtrochanteric fractures with a posteromedial wedge

2019 ◽  
Vol 68 ◽  
pp. 1-7
Author(s):  
Pavel Mukherjee ◽  
Jan Egil Brattgjerd ◽  
Sanyalak Niratisairak ◽  
Jan Rune Nilssen ◽  
Knut Strømsøe ◽  
...  
Keyword(s):  
Subtrochanteric Fractures ◽  
Cephalomedullary Nailing

TROCHANTERIC-ENTRY LONG CEPHALOMEDULLARY NAILING OF SUBTROCHANTERIC FRACTURES CAUSED BY LOW-ENERGY TRAUMA

2005 ◽  
Vol 87 (10) ◽  
pp. 2217-2226 ◽  
Author(s):  
C. MICHAEL ROBINSON ◽  
S. HOUSHIAN ◽  
L. A.K. KHAN
Keyword(s):  
Low Energy ◽  
Subtrochanteric Fractures ◽  
Cephalomedullary Nailing

Retrograde entry portal for cephalomedullary nailing in difficult subtrochanteric fractures

Injury ◽  
2021 ◽  
Author(s):  
Dr. Ashok Gavaskar ◽  
Dr. Parthasarathy Srinivasan ◽  
Dr. Balamurugan J ◽  
Dr. Rufus V Raj ◽  
Dr. Krishna Sagar ◽  
...  
Keyword(s):  
Subtrochanteric Fractures ◽  
Cephalomedullary Nailing

Cerclage Wiring Through a Mini-Open Approach to Assist Reduction of Subtrochanteric Fractures Treated With Cephalomedullary Fixation

2017 ◽  
Vol 31 (8) ◽  
pp. e263-e268 ◽  
Author(s):  
Pablo Codesido ◽  
Ana Mejía ◽  
Jonathan Riego ◽  
Cristina Ojeda-Thies
Keyword(s):  
Open Approach ◽  
Subtrochanteric Fractures ◽  
Cerclage Wiring ◽  
Cephalomedullary Fixation ◽  
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