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

• Main Authors: Apivatthakakul,T., Phornphutkul,C.
• Format: Article
• Published: Elsevier Limited 2015
• Subjects: Orthopedics and Sports Medicine; Emergency Medicine
• Online Access: http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84860704551&origin=inward; http://cmuir.cmu.ac.th/handle/6653943832/38207
• 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.