J Korean Fract Soc.  2013 Jul;26(3):212-216. 10.12671/jkfs.2013.26.3.212.

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

• Park KC
• Kim HS

• KMID: 1431666
• DOI: http://doi.org/10.12671/jkfs.2013.26.3.212

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.

Keyword

Subtrochanteric fracture; Percutaneous wiring

MeSH Terms

Femur
Fracture Fixation, Intramedullary
Hip Fractures

Figure

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

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  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.

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  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.

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