ArticleBMC musculoskeletal disorders2018
A novel cerclage wiring technique in intertrochanteric femoral fractures treated by intramedullary nails in young adults.
Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 12 citations in OpenAlex.
- Minimally invasive reduction of irreducible, sagittally unstable peritrochanteric fractures: Novel technique and early results.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Article
- Accurate reduction of medial arch fracture fragments in intertrochanteric fractures: A novel technical note.Frontiers in surgery · 2023Article
- Breakage of intramedullary femoral nailing or femoral plating: how to prevent implant failure.European journal of medical research · 2022Article
- Cement augmentation for trochanteric fracture in elderly: A systematic review.Journal of clinical orthopaedics and trauma · 2021Review
- Surgical Selection of Unstable Intertrochanteric Fractures: PFNA Combined with or without Cerclage Cable.BioMed research international · 2021Article
- The effect on outcomes of the application of circumferential cerclage cable following intramedullary nailing in reverse intertrochanteric femoral fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- The lesser trochanter "Sling fixation technique" in proximal intramedullary nailing of unstable intertrochanteric fractures: A polymer-based cerclage wiring.Journal of orthopaedicsArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntertrochanteric femoral fractures (IFFs) in young adults, generally due to severe trauma, are increasingly presented. Different from IFFs in the geriatric population, these fractures in young adults are always comminuted and substantially displaced. Natural traction induced by musculature following IFFs determines closed reduction on a fracture table is extremely difficult.
methodsTo achieve anatomical reduction before intramedullary nail (IMN) fixation, we made an extended or a mini petrotrochantetic incision to facilitate temporary reduction using a pointed clamp. Subsequently, a curved and cannulated wire-passer was employed to pass through a multistrand cable to surround displaced fragments and strengthen intertrochanteric fixation. Afterward, a standard procedure was conducted to nail the fracture.
resultsWe used the surgical technique in 9 young patients with an age range of 28~ 48 years old. The fractures were categorized as AO/OTA 31-A2.2 (3 cases) and 31-A2.3 (6 cases). The injury-to-surgery interval was 2.5 days on average. Mean operation time was 55 min. All fractures achieved anatomical reduction and healed within 14 weeks postoperatively without cable breakage, implant irritation or deep infection.
conclusionsIn conclusion, the surrounding technique with cerclage wire in IFFs in young adults is an effective surgical technique with easily achieved anatomical reduction to facilitate operative maneuvers and fracture healing.
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