Monofilament Cerclage Wiring Fixation with Locking Plates for Distal Femoral Fracture: Is It Appropriate?

Overview

Journal Indian J Orthop

Publisher Springer Nature

Specialty Orthopedics

Date 2019 Nov 2

PMID 31673167

Citations 2

Authors

Sung Hyun Lee

Young Chae Choi

Suc Hyun Kweon

Affiliations

Soon will be listed here.

Abstract

Purpose: We aimed to determine the efficacy of cerclage wiring by comparing the clinical and radiological results between internal fixation with locking plates after distal femoral fracture reduction with or without cerclage wiring.

Materials And Methods: One hundred and one patients who received open reduction internal fixation for distal femoral fractures of oblique, spiral, and spiral wedge type between 2007 and 2014 were reviewed retrospectively. Only locking plate fixation was performed in 46 patients, and locking plate fixation with additional cerclage wiring was performed in 55 patients (Group CW). Demographic, clinical, and radiologic factors were evaluated in both the groups. Age, gender, bone mineral density, bone graft, and the presence of concomitant fractures were measured as demographic factors. The range of motion of knee joint, Lysholm knee score, visual analog scale score, procedure time, and C-arm time were measured as clinical factors preoperatively and at the final followup. We also evaluated the duration of bone union and knee joint alignment radiologically.

Results: There were no demographic differences between the two groups. Furthermore, there were no statistically significant differences between the two groups in terms of clinical and radiological parameters. However, the procedure time used was significantly longer in Group LP than in Group CW (108.4 vs. 95.2 min; = 0.027). The C-arm time was longer in Group LP (2.8 vs. 1.2 s; = 0.017).

Conclusions: Open reduction and locking plate fixation with additional cerclage wiring is a useful method for the reduction of complicated distal femoral fractures, without increased complications such as nonunion.

Level Of Evidence: Level III, retrospective cohort design, treatment study.

Citing Articles

Anthropometric Factors on Safe Distances between Popliteal Vessels to the Femur for Cerclage Wiring of the Distal Femoral Fracture: A Magnetic Resonance Imaging Study.

Chang H, Lin C, Chen H, Chen Y, Chen H, Lin I Medicina (Kaunas). 2020; 56(12).

PMID: 33260736 PMC: 7761162. DOI: 10.3390/medicina56120655.

More than a reposition tool: additional wire cerclage leads to increased load to failure in plate osteosynthesis for supracondylar femoral shaft fractures.

Bliemel C, Anrich D, Knauf T, Oberkircher L, Eschbach D, Klasan A Arch Orthop Trauma Surg. 2020; 141(7):1197-1205.

PMID: 32856181 PMC: 8215035. DOI: 10.1007/s00402-020-03586-1.

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