ArticleYonsei medical journal2017
Do Cerclage Cables Delay the Time to Bone Union in Patients with an Unstable Humeral Shaft Fracture Treated with Intramedullary Nails?
Article in Yonsei medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.
- Radial nerve palsy associated with closed humeral shaft fractures: a systematic review of 1758 patients.Archives of orthopaedic and trauma surgery · 2021Pooled it
- Rigid locked antegrade versus retrograde intramedullary nailing in treating acute humeral shaft fractures: a systematic review with meta-analysis.EFORT open reviews · 2026Article
- Effect of cerclage wiring on humeral shaft fracture associated with the third fragment.Archives of orthopaedic and trauma surgery · 2025Article
- Periprosthetic proximal humerus fractures require an individualized treatment approach-results of a multicenter retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- TREATMENT OF HUMERAL SHAFT FRACTURES: ANTEGRADE INTERLOCKING INTRAMEDULLARY NAILING WITH ADDITIONAL INTERLOCKING NEUTRALIZATION SCREWS THROUGH FRACTURE SITE.Acta clinica Croatica · 2019Article
- A novel cerclage wiring technique in intertrochanteric femoral fractures treated by intramedullary nails in young adults.BMC musculoskeletal disorders · 2018Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the time to bone union after open reduction and internal fixation with cerclage cables followed by intramedullary nailing (IMN) for unstable humeral shaft fractures. MATERIALS AND
methodsPatients with a humeral shaft fracture treated by IMN were enrolled. One group of patients was treated via open reduction and internal fixation with cables followed by IMN (cable group; n=32), while the other group was treated with a conventional closed IMN (non-cable group; n=64). The length of time to bone union and functional scores [Disabilities of the Arm, Shoulder and Hand (DASH) and University of California, Los Angeles (UCLA) scores] were measured for all patients.
resultsNo significant differences were found in terms of age, gender, injury type, or smoking history between the two groups, except for the type of fracture. The cable group had significantly more complex types of fracture than the non-cable group (p<0.001). The mean time to bone union was 3.9 months in the cable group, while in the non-cable group, it was 4.4 months (p=0.041). The incidence of postoperative complications, such as non-union, delayed union, and radial nerve palsy, was similar between the two groups (p>0.05). No differences were identified in terms of DASH and UCLA scores (28.8 and 32.1 in the cable group and 26.4 and 32.6 in the non-cable group, respectively; p=0.335 and 0.264).
conclusionIn unstable humeral shaft fractures treated by IMN, open reduction and internal fixation with additional cerclage cables do not delay the length of time to bone union or increase the rate of other complications.
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