Percutaneous cerclage wiring for reduction of periprosthetic and difficult femoral fractures. A technical note

• Main Authors: Apivatthakakul T., Phornphutkul C.
• Format: Article
• Language: English
• Published: 2014
• Online Access: http://www.scopus.com/inward/record.url?eid=2-s2.0-83655192813&partnerID=40&md5=111ef82693f05f2697e213904be89e2c; http://www.ncbi.nlm.nih.gov/pubmed/22192473; http://cmuir.cmu.ac.th/handle/6653943832/2959
• Institution: Chiang Mai University

Background: Combining closed reduction techniques with minimally invasive plate osteosynthesis (MIPO) or intramedullary nailing is a technically challenging procedure, especially when dealing with complex femoral fractures such as periprosthetic fractures. Cerclage wiring is a well known adjunct for fracture reduction and fixation. However, it is usually performed by open reduction, requiring wide surgical exposures, that results in soft tissue stripping. Objectives: To present how a novel cerclage wiring technique, employing a new percutaneous cerclage system, helped reduce a periprosthetic femoral fracture, fixed with MIPO, and a difficult proximal femoral fracture, stabilized with an intramedullary nail. Conclusion: Percutaneous wiring is an alternative reduction technique to facilitate the reduction and maintenance of difficult femoral fractures, which reduces the radiation exposure to the surgeon. © 2011 Elsevier Ltd. All rights reserved.