Effects of Cerclage Cabling on Preventing Periprosthetic Femoral Fractures When Using Cementless Stems for Unstable Femoral Neck Fractures

Iwasa, Makoto; Ando, Wataru; Takashima, Kazuma et al.

Journal of Arthroplasty, 2024, 39(11), 2807-2811

Number of Access:791（2025-07-18 17:14 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/97168

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Title
Effects of Cerclage Cabling on Preventing Periprosthetic Femoral Fractures When Using Cementless Stems for Unstable Femoral Neck Fractures
Creator
CreatorName
Iwasa, Makoto
NRID
1000040833687 1000040833687
researchmap permalink
watarucalgary watarucalgary
CreatorName
Ando, Wataru
NRID
1000010964801 1000010964801
CreatorName
Takashima, Kazuma
NRID
1000070871367 1000070871367
researchmap permalink
keisukeuemura keisukeuemura
Scopus Author ID
57203910709 57203910709
ORCID
0000-0002-9245-1743 0000-0002-9245-1743
CreatorName
Uemura, Keisuke
NRID
1000090778705 1000090778705
researchmap permalink
x_y_z x_y_z
Scopus Author ID
55917324800 55917324800
ORCID
0000-0003-3652-9400 0000-0003-3652-9400
CreatorName
Hamada, Hidetoshi
NRID
1000070273620 1000070273620
researchmap permalink
read0185092 read0185092
Scopus Author ID
7101688414 7101688414
CreatorName
Sugano, Nobuhiko
Subject
cementless stem
cerclage cabling
femoral neck fracture
intraoperative periprosthetic fracture
postoperative periprosthetic fracture
Description
Iwasa M., Ando W., Takashima K., et al. Effects of Cerclage Cabling on Preventing Periprosthetic Femoral Fractures When Using Cementless Stems for Unstable Femoral Neck Fractures. Journal of Arthroplasty , (2024); https://doi.org/10.1016/j.arth.2024.04.085.
Abstract
Background: Periprosthetic femoral fractures (PFFs) are serious complications in hip arthroplasty for femoral neck fractures. The rates of intraoperative (iPFFs) and postoperative PFFs (pPFFs) are higher in cementless stem cases than in cemented cases. This study aimed to investigate the effects of cerclage cabling on PFF prevention in cementless arthroplasty for femoral neck fractures. Methods: This retrospective study included 329 consecutive patients who underwent hip arthroplasty using a cementless stem for femoral neck fractures. A total of 159 and 170 patients were in the non-cabling and cabling groups, respectively. Patient characteristics were comparable in both groups. The PFF occurrence (iPFF and pPFF) rates, reoperation rates, operative time, and blood loss volume were compared between the groups. Results: The iPFF rate was significantly higher in the noncabling group (6.3%) than in the cabling group (0%, P <.001). The rate of pPFF was significantly higher in the non-cabling group (5.1%) than in the cabling group (0.6%; P =.016). All patients in the non-cabling group required reoperation (5.1%), whereas the patient in the cabling group was an ambulatory case and required no reoperation (0%, P =.003). No significant difference in either operative time or blood loss volume was observed between the non-cabling (50 minutes, 133 mL) and cabling (52 minutes, P =.244; 149 mL, P =.212, respectively) groups. Conclusions: When a cementless stem is used to treat unstable femoral neck fractures, cerclage cabling effectively prevents iPPF and pPPF without increasing surgical time or blood loss volume.
Publisher
Elsevier B.V.
Source Title
Journal of Arthroplasty
Volume (Issue)
39(11)
Page
2807-2811
Date of Issued
2024-05-11
Language
English
Handle URL
https://hdl.handle.net/11094/97168
PISSN
08835403
eISSN
15328406
Relation.isIdenticalTo
DOI (Publisher Version)
https://doi.org/10.1016/j.arth.2024.04.085
Access Rights
open access
CopyRight
This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
oaire:version
Version of Record
Category
学術雑誌論文 Journal Article