SynthesisDer Unfallchirurg2021
[Impairment of the blood supply by cerclages: myth or reality? : An overview of the experimental study situation].
Synthesis in Der Unfallchirurg, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- [S2e guidelines of the German Society for Orthopaedic and Trauma Surgery "distal femoral fractures"-Practical implementation].Unfallchirurgie (Heidelberg, Germany) · 2026Guideline
- Immediate full weightbearing with additive cerclage improves early mobility after tibial shaft spiral fractures.Scientific reports · 2025Article
- Outcome of femoral fractures treated with cerclages and intramedullary nailing.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Controversies in the Treatment Strategies of Intertrochanteric Fractures: A Scoping Review and Discussion of a Literature-Based Algorithm.Journal of clinical medicine · 2025Review
- Use of 1 mm Cerclage Cables in Surgical Treatment of Periprosthetic Femur Fractures.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Cerclage Wiring Improves Biomechanical Stability in Distal Tibia Spiral Fractures Treated by Intramedullary Nailing.Journal of clinical medicine · 2023Article
- Reconstruction intramedullary nailing for a failed subtrochanteric Seinsheimer type IIB fracture: a case report.Frontiers in surgery · 2023Article
- New ways of treatment of fractures of the humeral shaft: does the combination of intramedullary nail osteosynthesis and cerclage improve the healing process?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- A minimally invasive cerclage of the tibia in a modified Goetze technique: operative technique and first clinical results.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- 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
- [Compromising due to additive cerclages : Can surgical treatment of humeral shaft fractures cause damage to the radial nerve?]Der Unfallchirurg · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe use of a cerclage for osteosynthesis is a controversially discussed topic. They are said to damage the periosteal blood circulation and therefore impair bony healing. This article examines the available evidence on whether cerclages actually lead to a relevant reduction in periosteal perfusion.
methodsA systematic review of the literature was performed in the PubMed library, searching for experimental studies concerning the influence of cerclages on periosteal blood supply.
resultsNo experimental study exists which used a fracture model to investigate the influence of cerclages on the periosteal blood supply of fractured bones. A total of seven experimental studies could be identified. Of these studies two used human cadaver femora, which showed no relevant impairment of the blood supply. The other five investigations were animal experiments carried out on live animals. In rabbit femora the blood perfusion was shown by scintigraphy to be postoperatively decreased by 45-56% . In contrast, three other studies using dog femora and one using equine radii showed no relevant impairment of the periosteal blood supply. One study used an osteotomy model, the others used intact bones.
conclusionOnly one study using a rabbit model could demonstrate a relevant reduction of the periosteal blood supply by cerclages. In four other investigations on animal models over longer postoperative time periods the blood perfusion of the bones showed no impairment. In two series of experiments on human cadaveric femora no negative effects were also found. At least in the mid-term and long-term run the fear that cerclages could impair the blood supply of intact bone or postosteotomy cannot be confirmed by experimental studies. There is no experimental study using a fractured bone model.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.