SynthesisBMC musculoskeletal disorders2025
Intramedullary nailing with and without cerclage in subtrochanteric fractures: an updated systematic review and meta-analysis.
Synthesis in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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
2 citing papers in PubMed.
- Effect of intramedullary nail length on the biomechanical performance of internal fixation for subtrochanteric femoral fractures.BMC musculoskeletal disorders · 2026Article
- Lateral decubitus positioning was associated with improved efficiency and functional outcome compared with traction table positioning for cephalomedullary nailing of subtrochanteric femur fractures: a retrospective comparative study.BMC musculoskeletal disorders · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntramedullary nailing (IMN) is the gold standard for femoral subtrochanteric fractures (FSF) treatment due to their biomechanical advantages and minimally invasive nature. However, achieving proper reduction remains challenging in unstable patterns, leading to poor outcomes. Cerclage wiring, used alongside IMN, has shown potential in improving fracture stability and alignment, yet concerns regarding soft tissue damage persist. This systematic review and meta-analysis aims to evaluate the impact of cerclage wiring on clinical and radiological outcomes in FSF treatment.
methodsA comprehensive literature search was conducted for studies published up to the 3rd of March 2025 using PubMed, Scopus, Google Scholar, and Web of Science databases, focusing on randomized controlled trials and observational studies comparing intramedullary nailing with and without cerclage wiring in subtrochanteric fractures fixation. Eleven eligible studies, encompassing 658 patients, were included. The risk of bias was assessed using the Newcastle–Ottawa scale and meta-analytical techniques were employed to calculate pooled effect sizes and statistical significance.
resultsEleven retrospective studies were included revealing that cerclage wiring significantly increased operative time; p > 0.001, blood loss; p = 0.031, and better functional outcomes as union time significantly decreased; p = 0.026, significantly better Harris Hip Score; p = 0.012, while improving reduction quality. No significant differences were observed in non-union, infection, or mortality rates. Quality assessment using the Newcastle–Ottawa Scale indicated high quality studies.
conclusionCerclage wiring in conjunction with intramedullary nailing (IMN) for subtrochanteric fractures provides considerable advantages in our study in terms of the quality of fracture reduction, healing duration, and functional rehabilitation, especially in more complicated cases, even though it may lead to longer surgical times and greater blood loss.
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.