Cerclage Wiring in Subtrochanteric Hip Fractures. Analysis of Benefits and Complications

DOI: https://doi.org/10.15417/issn.1852-7434.2022.87.2.1400
Keywords: Subtrochanteric fracture, cerclage wire, union, nonunion, infection, malalignment

Abstract

Background: The aim of this retrospective study was to assess whether open reduction with cerclage wire affected the union and/or complication rate in subtrochanteric hip fractures treated with cephalomedullary nails. Materials and Methods: We analyzed all patients who had undergone surgery in our center between January 2010 and December 2017. We comparatively analyzed those treated with (Group A) and without (Group B) cerclage wire in terms of fracture type, hospital stay, surgical time, blood transfusions, malalignment, union, and complications (infection rates, non-union, and reoperations). Results: Fifty-eight patients were included. Group A consisted of 20 patients and Group B of 38. The most frequent type of fracture was 3A (p 0.0004). The mean hospital stay was similar (9 vs 10.6 days p 0.81), the surgical time and transfusions were higher in group A (p<0.0001 and p 0.58 respectively). The union rate was similar (90 vs 92.1%;p 0.09, respectively). Malalignment was only observed in group B (5 - 13.5%; p 0.01). Thecomplication (15 vs 18.4%) and reoperation (15 vs 15.8%) rates were similar (p 0.99). Conclusions: The use of cerclage wire in subtrochanteric hip fractures treated with cephalomedullary nails generated a significant increase in surgical time and a lower rate of malalignment. It allowed a lower rate of re-operation, although it was not significant.

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Author Biographies

Germán Garabano, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Alan Gessara, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Joaquín Rodríguez, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Tamara Dainotto, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Hernán del Sel, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

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Published
2022-04-18
How to Cite
Garabano, G., Gessara, A., Rodríguez, J., Dainotto, T., & del Sel, H. (2022). Cerclage Wiring in Subtrochanteric Hip Fractures. Analysis of Benefits and Complications. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(2), 143-151. https://doi.org/10.15417/issn.1852-7434.2022.87.2.1400
Issue
Vol 87 No 2 (2022): Asociación Argentina del Trauma Ortopédico
Section
Clinical Research
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