Ki-Chul Park; Hee-Soo Kim

doi:10.12671/jkfs.2013.26.3.212

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Surgical Technique
Efficacy of Percutaneous Cerclage Wiring in Intramedullary Nailing of Subtrochanteric Femur Fracture: Technical Note: Ki-Chul Park, M.D., Hee-Soo Kim, M.D.; Journal of the Korean Fracture Society 2013;26(3):212-216.
DOI: https://doi.org/10.12671/jkfs.2013.26.3.212
Published online: July 15, 2013

Department of Orthopedic Surgery, Guri Hospital, Hanyang University College of Medicine, Guri, Korea.

Address reprint requests to: Ki-Chul Park, M.D. Department of Orthopedic Surgery, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri 471-701, Korea. Tel: 82-31-560-2316, Fax: 82-31-557-8781, kcpark@hanyang.ac.kr

• Received: March 8, 2013 • Revised: April 15, 2013 • Accepted: April 28, 2013

This is anOpen Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
REFERENCES

Abstract

The subtrochanteric fractures of femur have high rates of delayed union or nonunion due to less-dense cancellous bone, insufficient cortical blood flow and high stress concentration. Anatomical reduction and rigid internal fixation are important in this region; however, an open reduction might damage the biological environment at the fracture site as well as increase the risk of nonunion. We present our experience with nine cases of subtrochanteric femur fractures surgically fixated with intramedullary nailing after percutaneous cerclage wiring through minimal incision.
Key words: Subtrochanteric fracture, Percutaneous wiring

REFERENCES

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Fig. 1

Surgical technique.

(A) Closed reduction by percutaneous cerclage wiring.

(B) Nail insertion.

Fig. 2

(A) A 32-year-old man's radiographs demonstrating Arbeitsgemeinschaft für Osteosynthesefragen and Orthopaedic Trauma Association (AO/OTA) type 32-B1 subtrochanteric femur fracture.

(B) Anteroposterior and lateral radiographs of the same patient 5 months postoperatively.

(C) Postoperative functional photograph.

Fig. 3

(A) A 55-year-old man's radiographs demonstrating Arbeitsgemeinschaft für Osteosynthesefragen and Orthopaedic Trauma Association (AO/OTA) type 32-B1 subtrochanteric femur fracture.

(B) Intraoperative radiograph shows cerclage wiring and clamp assisted reduction.

(C) Radiograph at 6 months after surgery shows solid bony union.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

The stabilising effect by a novel cable cerclage configuration in long cephalomedullary nailing of subtrochanteric fractures with a posteromedial wedge
Pavel Mukherjee, Jan Egil Brattgjerd, Sanyalak Niratisairak, Jan Rune Nilssen, Knut Strømsøe, Harald Steen
Clinical Biomechanics.2019; 68: 1. CrossRef
Factors Affecting Time to Bony Union of Femoral Subtrochanteric Fractures Treated with Intramedullary Devices
Jung-Yoon Choi, Yerl-Bo Sung, Jin-Hee Yoo, Sung-Jae Chung
Hip & Pelvis.2014; 26(2): 107. CrossRef

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Efficacy of Percutaneous Cerclage Wiring in Intramedullary Nailing of Subtrochanteric Femur Fracture: Technical Note

J Korean Fract Soc. 2013;26(3):212-216. Published online July 31, 2013

DOI: https://doi.org/10.12671/jkfs.2013.26.3.212

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Efficacy of Percutaneous Cerclage Wiring in Intramedullary Nailing of Subtrochanteric Femur Fracture: Technical Note

Fig. 1 Surgical technique. (A) Closed reduction by percutaneous cerclage wiring. (B) Nail insertion.

Fig. 2 (A) A 32-year-old man's radiographs demonstrating Arbeitsgemeinschaft für Osteosynthesefragen and Orthopaedic Trauma Association (AO/OTA) type 32-B1 subtrochanteric femur fracture. (B) Anteroposterior and lateral radiographs of the same patient 5 months postoperatively. (C) Postoperative functional photograph.

Fig. 3 (A) A 55-year-old man's radiographs demonstrating Arbeitsgemeinschaft für Osteosynthesefragen and Orthopaedic Trauma Association (AO/OTA) type 32-B1 subtrochanteric femur fracture. (B) Intraoperative radiograph shows cerclage wiring and clamp assisted reduction. (C) Radiograph at 6 months after surgery shows solid bony union.

Fig. 1

Fig. 2

Fig. 3

Efficacy of Percutaneous Cerclage Wiring in Intramedullary Nailing of Subtrochanteric Femur Fracture: Technical Note