The effect of cable fixation on union time in subtrochanteric femur fractures treated with cephalomedullary nailing
Aim: This study aimed to examine the effect of cable cerclage on reduction quality and union time in patients treated with cephalomedullary nails for subtrochanteric fractures. Materials and Methods: 75 closed subtrochanteric fractures treated with cephalomedullary nails by two different surgeons...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Izzet Baysal Training and Research Hospital
2025-01-01
|
| Series: | Northwestern Medical Journal |
| Subjects: | |
| Online Access: | https://nwmedj.org/article/view/140 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832540902575308800 |
|---|---|
| author | Fatih İlker Can Emre Gültaç Rabia Mihriban Kılınç Cem Yalın Kılınç |
| author_facet | Fatih İlker Can Emre Gültaç Rabia Mihriban Kılınç Cem Yalın Kılınç |
| author_sort | Fatih İlker Can |
| collection | DOAJ |
| description |
Aim: This study aimed to examine the effect of cable cerclage on reduction quality and union time in patients treated with cephalomedullary nails for subtrochanteric fractures.
Materials and Methods: 75 closed subtrochanteric fractures treated with cephalomedullary nails by two different surgeons with at least 10 months of follow-up were included in the study. Patients operated by Surgeon 1 were grouped as Group 1 (closed cephalomedullary nailing without cables, n=43), patients operated by Surgeon 2 with 1-2 cables as Group 2 (n=20), and those operated with 3-4 cables were grouped as Group 3 (open cephalomedullary nailing + cable fixation, n=12). Postoperative radiographs were evaluated for the presence of cables, the number of cables used, deformity, the residual gap between the fracture ends, and the union time.
Results: The cable fixation rate was calculated as 42.6%. There was a statistically significant relationship between cable use and the amount of gap (p=0.033). The average gap was 3.97 mm in patients without cables, 0.65 mm in patients with 1-2 cables, and 0.66 mm in patients with 3-4 cables. A positive correlation was found between the amount of gap and the time to union (Spearman's rho= 0.468, p=0.001). A statistically significant difference was found between Group 1 and Group 2 and also between Group 1 and Group 3 regarding the union time (p=0.007, p=0.001, respectively). The mean time to union was determined as 7.3 months in Group 1, 5.4 months in Group 2, and 5.7 months in Group 3.
Conclusion: Reducing the gap in the fracture line by using cables provides a better reduction, stability, and a shorter union time than fixation without a cable in subtrochanteric fractures treated with cephalomedullary nailing.
|
| format | Article |
| id | doaj-art-7f02fe640d1f40558f61c85bd4d3af20 |
| institution | Kabale University |
| issn | 2979-9538 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Izzet Baysal Training and Research Hospital |
| record_format | Article |
| series | Northwestern Medical Journal |
| spelling | doaj-art-7f02fe640d1f40558f61c85bd4d3af202025-02-04T12:17:07ZengIzzet Baysal Training and Research HospitalNorthwestern Medical Journal2979-95382025-01-015110.54307/2025.NWMJ.140The effect of cable fixation on union time in subtrochanteric femur fractures treated with cephalomedullary nailingFatih İlker Can0https://orcid.org/0000-0001-5880-5336Emre Gültaç1https://orcid.org/0000-0003-1943-2199Rabia Mihriban Kılınç2https://orcid.org/0000-0002-6845-5496Cem Yalın Kılınç3https://orcid.org/0000-0003-2568-0500Orthopedics and Traumatology, Muğla Training and Research Hospital, Muğla, TürkiyeDepartment of Orthopedics and Traumatology, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, TürkiyeDepartment of Radiology, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, TürkiyeCaria Orthopedics and Traumatology Private Clinic, Muğla, Türkiye Aim: This study aimed to examine the effect of cable cerclage on reduction quality and union time in patients treated with cephalomedullary nails for subtrochanteric fractures. Materials and Methods: 75 closed subtrochanteric fractures treated with cephalomedullary nails by two different surgeons with at least 10 months of follow-up were included in the study. Patients operated by Surgeon 1 were grouped as Group 1 (closed cephalomedullary nailing without cables, n=43), patients operated by Surgeon 2 with 1-2 cables as Group 2 (n=20), and those operated with 3-4 cables were grouped as Group 3 (open cephalomedullary nailing + cable fixation, n=12). Postoperative radiographs were evaluated for the presence of cables, the number of cables used, deformity, the residual gap between the fracture ends, and the union time. Results: The cable fixation rate was calculated as 42.6%. There was a statistically significant relationship between cable use and the amount of gap (p=0.033). The average gap was 3.97 mm in patients without cables, 0.65 mm in patients with 1-2 cables, and 0.66 mm in patients with 3-4 cables. A positive correlation was found between the amount of gap and the time to union (Spearman's rho= 0.468, p=0.001). A statistically significant difference was found between Group 1 and Group 2 and also between Group 1 and Group 3 regarding the union time (p=0.007, p=0.001, respectively). The mean time to union was determined as 7.3 months in Group 1, 5.4 months in Group 2, and 5.7 months in Group 3. Conclusion: Reducing the gap in the fracture line by using cables provides a better reduction, stability, and a shorter union time than fixation without a cable in subtrochanteric fractures treated with cephalomedullary nailing. https://nwmedj.org/article/view/140subtrochanteric fracturescephalomedullary nailingcable fixationresidual gapunion time |
| spellingShingle | Fatih İlker Can Emre Gültaç Rabia Mihriban Kılınç Cem Yalın Kılınç The effect of cable fixation on union time in subtrochanteric femur fractures treated with cephalomedullary nailing Northwestern Medical Journal subtrochanteric fractures cephalomedullary nailing cable fixation residual gap union time |
| title | The effect of cable fixation on union time in subtrochanteric femur fractures treated with cephalomedullary nailing |
| title_full | The effect of cable fixation on union time in subtrochanteric femur fractures treated with cephalomedullary nailing |
| title_fullStr | The effect of cable fixation on union time in subtrochanteric femur fractures treated with cephalomedullary nailing |
| title_full_unstemmed | The effect of cable fixation on union time in subtrochanteric femur fractures treated with cephalomedullary nailing |
| title_short | The effect of cable fixation on union time in subtrochanteric femur fractures treated with cephalomedullary nailing |
| title_sort | effect of cable fixation on union time in subtrochanteric femur fractures treated with cephalomedullary nailing |
| topic | subtrochanteric fractures cephalomedullary nailing cable fixation residual gap union time |
| url | https://nwmedj.org/article/view/140 |
| work_keys_str_mv | AT fatihilkercan theeffectofcablefixationonuniontimeinsubtrochantericfemurfracturestreatedwithcephalomedullarynailing AT emregultac theeffectofcablefixationonuniontimeinsubtrochantericfemurfracturestreatedwithcephalomedullarynailing AT rabiamihribankılınc theeffectofcablefixationonuniontimeinsubtrochantericfemurfracturestreatedwithcephalomedullarynailing AT cemyalınkılınc theeffectofcablefixationonuniontimeinsubtrochantericfemurfracturestreatedwithcephalomedullarynailing AT fatihilkercan effectofcablefixationonuniontimeinsubtrochantericfemurfracturestreatedwithcephalomedullarynailing AT emregultac effectofcablefixationonuniontimeinsubtrochantericfemurfracturestreatedwithcephalomedullarynailing AT rabiamihribankılınc effectofcablefixationonuniontimeinsubtrochantericfemurfracturestreatedwithcephalomedullarynailing AT cemyalınkılınc effectofcablefixationonuniontimeinsubtrochantericfemurfracturestreatedwithcephalomedullarynailing |