ArticleIndian journal of orthopaedics2020
Morphology Specific Lateral Wall Reconstruction Techniques Using Cerclage Wires in Unstable Trochanteric Fractures.
Article in Indian journal of orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 14 citations in OpenAlex.
- Advances in internal fixation methods for intertrochanteric femoral fractures: A narrative review.Pakistan journal of medical sciences · 2026Review
- Proximal femoral nail anti-rotation with and without cable cerclage for intertrochanteric femoral fractures with vulnerable lateral wall: a retrospective cohort study.BMC musculoskeletal disorders · 2026Article
- The role of lateral wall reconstruction in improving surgical outcomes for intertrochanteric femur fractures.Journal of experimental orthopaedics · 2025Review
- A novel nail-plate construct for the treatment of AO/OTA 31-A3.3 intertrochanteric fractures: a finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
- [Characteristics of posterior coronal banana-shaped fragments and its research progress in treatment of intertrochanteric femoral fracture with cephalomedullary nail].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
- Irreducible Intertrochanteric Fractures: Analysis of Various Fracture Patterns and Reduction Techniques.Cureus · 2024Article
- 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
- Biomechanical evaluation of ortho-bridge system and proximal femoral nail antirotation in intertrochanteric fractures with lateral wall fracture based on finite element analysis.Frontiers in bioengineering and biotechnology · 2024Article
- Augmentation of intramedullary nail in unstable intertrochanteric fractures with plate or cable.Frontiers in surgery · 2024Article
- Outcome of buttress plate-nail construct used for reconstruction of broken lateral wall in intertrochanteric fractures.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Article
- Should We Reconstruct Coronal Plane Fractures in Multifragmentary Pertrochanteric Fractures? A Randomized Controlled Trial.JB & JS open accessArticle
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7 authors at 1 institution in 1 country.
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Abstract
Trochanteric lateral wall fracture (LWF) indicates instability and is found to be an important predictor of reoperations following trochanteric fracture fixation. A single unified technique for lateral wall reconstruction may not adequately stabilize all the fracture patterns. We have presented morphology specific lateral wall reconstruction techniques using cerclage wire around proximal femoral nails. Various LWF patterns have been simplified into three types. Type-specific lateral wall reconstruction techniques using cerclage wire were adopted in 49 consecutive unstable trochanteric fractures presented to our institute between 2016 and 2018. We analyzed the fracture pattern, fixation method used, union time, and complications. The functional outcome was analyzed using the Harris hip score (HSS). The mean follow-up period was 13 months (range 10-36 months). The mean age of the population was 66 years (range 36-91 years). There were 15 patients with type 1 LWF pattern, 26 patients with type 2, and 8 were of type 3 pattern. The mean operating time was 66 min. The mean union time was 14 weeks (10-24 weeks). HSS was excellent in 9 patients, good in 33 patients, fair in 4 patients, and poor in 5 patients. Complications include one patient with avascular necrosis (AVN) of the femoral head, varus collapse with non-union in one patient, screws back out in one patient, superficial infection in 4 patients, and distal screw breakage in one patient. Type 2 is the most common LWF type in our study. In unstable trochanteric fractures, morphology specific lateral wall reconstruction using cerclage wire loops around the proximal femoral nail is a simple technique with promising results with minimal complications.
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