ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
The impact of cerclage cabling on unstable intertrochanteric and subtrochanteric femoral fractures: a retrospective review of 465 patients.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The role of cerclage wiring in the management of subtrochanteric and reverse oblique intertrochanteric fractures: a meta-analysis of comparative studies.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- The effect of cerclage wiring with intramedullary nail surgery in proximal femoral fracture: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- [Impairment of the blood supply by cerclages: myth or reality? : An overview of the experimental study situation].Der Unfallchirurg · 2021Pooled it
- The clinical efficacy of Medial Sustain Nail(MSN) and Proximal femoral nail anti-rotation(PFNA) for fixation of medial comminuted trochanteric fractures: a prospective randomized controlled trial.International orthopaedics · 2024Trial
- A novel classification system based on the lateral view of 3D-CT for predicting the reducibility of intertrochanteric fractures: a retrospective study.Journal of orthopaedic surgery and research · 2026Article
- From bench to bedside: a novel suture-augmented prosthesis for greater trochanteric fixation in osteoporotic hip arthroplasty.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- Short-Term Outcomes of a Reinforced Greater Trochanter Stabilization Technique in Revision Total Hip Arthroplasty After Periprosthetic Fracture: A Novel Technique and Case Series.Arthroplasty today · 2025Article
- Research on Classification Criteria for the Reducibility and Irreducibility of Intertrochanteric Femoral Fractures.Orthopaedic surgery · 2025Article
- Biomechanical evaluation of the new intramedullary system II for treating reverse obliquity trochanteric fractures.Scientific reports · 2025Article
- [Research progress on treatment of unstable intertrochanteric fractures in elderly patients with bone cement type femoral head replacement].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
- Enhanced Outcomes in Femoral Subtrochanteric Fractures Using Long INTERTAN Nails with Titanium Cable Cerclage: A Retrospective Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Preventing Atrophic Long-Bone Nonunion: Retrospective Analysis at a Level I Trauma Center.Journal of clinical medicine · 2024Article
- Residual lateral wall width predicts a high risk of mechanical complications in cephalomedullary nail fixation of intertrochanteric fractures: a retrospective cohort study with propensity score matching.International orthopaedics · 2023Article
- Treatment of irreducible intertrochanteric femoral fracture with a minimally invasive clamp reduction technique via the anterior approach.Journal of orthopaedic surgery and research · 2023Article
- Management of subtrochanteric femur fractures: is open reduction associated with poor outcomes?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- The Clinical Efficacy of Minimally Invasive Clamp-Assisted Reduction and Open Reduction with Wire Cerclage for Unstable Subtrochanteric Fractures.Journal of healthcare engineering · 2022Article
- [Research on the classification criteria of femoral intertrochanteric fractures based on irreducibility or not].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- [Effectiveness of proximal femoral nail anti-rotation and cerclage fixation for complicated femoral subtrochanteric fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Surgical Site Infection Following Intramedullary Nailing of Subtrochanteric Femoral Fractures.Journal of clinical medicine · 2021Article
- [Treatment of irreducible intertrochanteric femoral fracture with minimally invasive clamp reduction technique via anterior approach].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
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Authors and funding
2 authors.
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Abstract
purposeTo assess the potential impact of using cerclage cables or wires when undertaking fixation of unstable intertrochanteric and subtrochanteric fractures.
methodsPatients were identified from a validated hospital database which included patients from all trauma units within Northern Ireland from 2008 to 2015. The primary outcome measure was return to theatre for any reason. Secondary outcome measures included quality of reduction, tip-apex distance, length of stay, mortality at 3 and 12 months and functional outcomes assessed by Barthel Index and mobility.
results465 patients were included (157 in the cerclage/wire group and 308 without). Mean age of 79.6 years, with 330 females and 135 males. There was no statistical difference between the groups in relation to baseline demographics and risk factors for complications. 24 patients required further surgery, 13 (8.3%) in the cerclage group and 11 (3.6%) in those without (p < 0.03). Cabling of intertrochanteric fractures resulted in further surgery in 9.1% versus 3.4% without. Quality of reduction was improved in the cerclage group (p < 0.01), however improvements were less noticeable in intertrochanteric fractures (32.3% classified as good) compared to subtrochanteric fractures (52.4% good). Length of stay was longer in the cerclage group (p < 0.01). No differences were noted in mortality, Barthel score or mobility at 3 and 12 months.
conclusionsCerclage cables/wires can augment fixation in subtrochanteric fractures with potential benefits including improving quality of reduction. Evidence for their use in intertrochanteric fractures is much more contentious and we would advise they only be used where a definite improvement in reduction can be obtained with the minimum number possible.
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