Evidence map›Paper›PMID 39856356›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Outcomes of cerclage wiring for intraoperative calcar fractures in cementless hemiarthroplasty in older patients with femoral neck fractures.

Evrim Duman, Ahmet Berkay Girgin, Ömer Torun, Osman Yağız Atlı, Hüseyin Bilgehan Çevik

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Evrim DumanAnkara Etlik City Hospital, Ankara, Turkey.
Ahmet Berkay GirginAnkara Etlik City Hospital, Ankara, Turkey.
Ömer TorunAnkara Etlik City Hospital, Ankara, Turkey.
Osman Yağız AtlıAnkara Etlik City Hospital, Ankara, Turkey.
Hüseyin Bilgehan ÇevikAnkara Etlik City Hospital, Ankara, Turkey. bilgehancevik@gmail.com.

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No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCementless hip hemiarthroplasty is one of the options for the treatment of osteoporotic femoral neck fractures. Intraoperative periprosthetic femoral calcar fractures sometimes occur during the surgery, and the use of cerclage wiring to maintain the position and stability of the femoral stem and prevent the progression of the fracture. This study examines the outcomes of cerclage wiring to treat intraoperative periprosthetic calcar fractures in cementless hip hemiarthroplasty in osteoporotic femoral neck fractures. MATERIALS AND

methodsA retrospective review of femoral neck fractures treated with cementless hemiarthroplasty was conducted. Twenty-one calcar fractures that underwent cerclage wiring were compared with a demographically similar control group of 21 patients without intraoperative fractures. Radiological parameters, including proximal femoral morphology and stem subsidence, and Harris Hip score were evaluated for clinical outcomes.

resultsA tapered wedge-shaped type cementless stem was used in all of the cases. The most common femur types were Dorr B in both groups. The average stem subsidence of wires applied below a lesser trochanter was less than above (p = 0.905). The fracture group had a mean HHS of 83.85 ± 6.62, and the control group had a mean HHS of 88.00 ± 5.76 (p = 0.067).

conclusionsUsing cerclage wiring in treating intraoperative periprosthetic femoral calcar fractures provides adequate fixation for the stability of the femoral stem either above or below the lesser trochanter.

Indexed as

Arthroplasty, Replacement, HipBone WiresFemoral Neck FracturesHemiarthroplastyIntraoperative ComplicationsOsteoporotic FracturesPeriprosthetic FracturesAgedAged, 80 and overFemaleHip ProsthesisHumansMaleRetrospective StudiesTreatment OutcomeCalcar fractureCementless hip hemiarthroplastyCerclage wiringFemoral neck fractureOsteoporotic fracture

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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.