Ontology type: schema:ScholarlyArticle Open Access: True
2011-08
AUTHORSThorben Müller, Tobias Topp, Christian A. Kühne, Gershon Gebhart, Steffen Ruchholtz, Ralph Zettl
ABSTRACTPURPOSE: Reduction and intramedullary fixation of subtrochanteric fractures is often challenging. Osteosynthesis frequently fails and a higher rate of non-unions is found. The aim of this study was to evaluate the benefit of an additional cerclage to anatomically reduce and support the medial hinge. The application is based on the experience of the surgeon; as yet no biomechanical data are available. METHODS: Ten pairs of human cadaveric femora were used to determine the biomechanical and clinical advantage of an additional cerclage. All femora were tested in a materials testing system after osteotomy, osteosynthesis with the Gamma III nail and randomisation into two groups with or without additional cerclage. RESULTS: After cyclic loading the compressive load to reach plastic deformation of 5 mm was 2,160 N on average in the group without cerclage vs 2,330 N on average in the group with cerclage. This biomechanical advantage showed no statistical significance (p = 0.2). Radiological examination when the abort criterion was reached revealed that use of the additional wire cerclage could significantly decrease the failure of osteosynthesis (100 vs 10%) after intramedullary nailing of subtrochanteric fractures (p < 0.05). CONCLUSION: In view of the more invasive operative approach with additional soft tissue injuries, application of an additional cerclage should still be considered carefully. Nevertheless, a mini-open approach to difficult fractures could be helpful in reducing the fracture with a clamp and is sometimes essential. The damage to the soft tissue must be weighed against the benefits of the procedure. An additional cerclage in oblique subtrochanteric fractures is a good option to ensure the reposition and cortical medial support if appropriate and to decrease osteosynthesis failure and rates of non-unions. More... »
PAGES1237-1243
http://scigraph.springernature.com/pub.10.1007/s00264-010-1204-4
DOIhttp://dx.doi.org/10.1007/s00264-010-1204-4
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1032551006
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/21258791
JSON-LD is the canonical representation for SciGraph data.
TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT
[
{
"@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json",
"about": [
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Clinical Sciences",
"type": "DefinedTerm"
},
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Medical and Health Sciences",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Aged, 80 and over",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Biomechanical Phenomena",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Bone Wires",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Cadaver",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Equipment Failure Analysis",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Female",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Femur",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Fracture Fixation, Intramedullary",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Hip Fractures",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Humans",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Joint Prosthesis",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Male",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Osteotomy",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Postoperative Complications",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Traction",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Weight-Bearing",
"type": "DefinedTerm"
}
],
"author": [
{
"affiliation": {
"alternateName": "University of Giessen",
"id": "https://www.grid.ac/institutes/grid.8664.c",
"name": [
"Department of Trauma, Hand and Reconstructive Surgery, University of Giessen and Marburg GmbH, Baldingerstrasse, 35043, Marburg, Germany"
],
"type": "Organization"
},
"familyName": "M\u00fcller",
"givenName": "Thorben",
"id": "sg:person.01106665064.96",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01106665064.96"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Giessen",
"id": "https://www.grid.ac/institutes/grid.8664.c",
"name": [
"Department of Trauma, Hand and Reconstructive Surgery, University of Giessen and Marburg GmbH, Baldingerstrasse, 35043, Marburg, Germany"
],
"type": "Organization"
},
"familyName": "Topp",
"givenName": "Tobias",
"id": "sg:person.01040551664.68",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01040551664.68"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Giessen",
"id": "https://www.grid.ac/institutes/grid.8664.c",
"name": [
"Department of Trauma, Hand and Reconstructive Surgery, University of Giessen and Marburg GmbH, Baldingerstrasse, 35043, Marburg, Germany"
],
"type": "Organization"
},
"familyName": "K\u00fchne",
"givenName": "Christian A.",
"id": "sg:person.010364147424.18",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010364147424.18"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Giessen",
"id": "https://www.grid.ac/institutes/grid.8664.c",
"name": [
"Department of Trauma, Hand and Reconstructive Surgery, University of Giessen and Marburg GmbH, Baldingerstrasse, 35043, Marburg, Germany"
],
"type": "Organization"
},
"familyName": "Gebhart",
"givenName": "Gershon",
"id": "sg:person.01334243716.50",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01334243716.50"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Giessen",
"id": "https://www.grid.ac/institutes/grid.8664.c",
"name": [
"Department of Trauma, Hand and Reconstructive Surgery, University of Giessen and Marburg GmbH, Baldingerstrasse, 35043, Marburg, Germany"
],
"type": "Organization"
},
"familyName": "Ruchholtz",
"givenName": "Steffen",
"id": "sg:person.01243445550.68",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01243445550.68"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "University of Giessen",
"id": "https://www.grid.ac/institutes/grid.8664.c",
"name": [
"Department of Trauma, Hand and Reconstructive Surgery, University of Giessen and Marburg GmbH, Baldingerstrasse, 35043, Marburg, Germany"
],
"type": "Organization"
},
"familyName": "Zettl",
"givenName": "Ralph",
"id": "sg:person.01020063161.50",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01020063161.50"
],
"type": "Person"
}
],
"citation": [
{
"id": "https://doi.org/10.3109/17453679808999259",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1000469276"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1016/0020-1383(94)90111-2",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1004523835"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/s001130050613",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1007500695",
"https://doi.org/10.1007/s001130050613"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1016/s0030-5898(03)00075-0",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1015505199"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/s00113-005-0962-8",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1019178660",
"https://doi.org/10.1007/s00113-005-0962-8"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/s00113-005-0962-8",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1019178660",
"https://doi.org/10.1007/s00113-005-0962-8"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/s00402-003-0586-9",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1025417309",
"https://doi.org/10.1007/s00402-003-0586-9"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/s00113-007-1248-0",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1026357126",
"https://doi.org/10.1007/s00113-007-1248-0"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/s00113-007-1248-0",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1026357126",
"https://doi.org/10.1007/s00113-007-1248-0"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1016/j.injury.2010.02.018",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1028569720"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1002/aja.1000210202",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1036447321"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00005131-200204000-00003",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1038619902"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00005131-200204000-00003",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1038619902"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/s00068-007-7031-7",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1045849882",
"https://doi.org/10.1007/s00068-007-7031-7"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/s00068-007-7031-7",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1045849882",
"https://doi.org/10.1007/s00068-007-7031-7"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/s00264-009-0874-2",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1048037078",
"https://doi.org/10.1007/s00264-009-0874-2"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/s00264-009-0874-2",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1048037078",
"https://doi.org/10.1007/s00264-009-0874-2"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1007/s00264-009-0874-2",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1048037078",
"https://doi.org/10.1007/s00264-009-0874-2"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1080/110241500750009357",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1048070606"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00003086-199407000-00042",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060165790"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00003086-199407000-00042",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060165790"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00003086-199407000-00042",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060165790"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00003086-199611000-00010",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060166603"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00003086-199611000-00010",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060166603"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00003086-199611000-00010",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060166603"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00003086-199705000-00031",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060166877"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00003086-199705000-00031",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060166877"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00003086-199705000-00031",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060166877"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00005131-200006000-00003",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060199361"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00005131-200006000-00003",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060199361"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00005131-200006000-00003",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060199361"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1097/00005131-200006000-00003",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1060199361"
],
"type": "CreativeWork"
},
{
"id": "https://app.dimensions.ai/details/publication/pub.1074966170",
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1302/0301-620x.74b3.1587874",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1077048959"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1302/0301-620x.74b3.1587875",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1077048960"
],
"type": "CreativeWork"
},
{
"id": "https://doi.org/10.1302/0301-620x.73b2.2005167",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1078031279"
],
"type": "CreativeWork"
},
{
"id": "https://app.dimensions.ai/details/publication/pub.1082522932",
"type": "CreativeWork"
},
{
"id": "https://app.dimensions.ai/details/publication/pub.1083206419",
"type": "CreativeWork"
}
],
"datePublished": "2011-08",
"datePublishedReg": "2011-08-01",
"description": "PURPOSE: Reduction and intramedullary fixation of subtrochanteric fractures is often challenging. Osteosynthesis frequently fails and a higher rate of non-unions is found. The aim of this study was to evaluate the benefit of an additional cerclage to anatomically reduce and support the medial hinge. The application is based on the experience of the surgeon; as yet no biomechanical data are available.\nMETHODS: Ten pairs of human cadaveric femora were used to determine the biomechanical and clinical advantage of an additional cerclage. All femora were tested in a materials testing system after osteotomy, osteosynthesis with the Gamma III nail and randomisation into two groups with or without additional cerclage.\nRESULTS: After cyclic loading the compressive load to reach plastic deformation of 5 mm was 2,160 N on average in the group without cerclage vs 2,330 N on average in the group with cerclage. This biomechanical advantage showed no statistical significance (p\u2009=\u20090.2). Radiological examination when the abort criterion was reached revealed that use of the additional wire cerclage could significantly decrease the failure of osteosynthesis (100 vs 10%) after intramedullary nailing of subtrochanteric fractures (p\u2009<\u20090.05).\nCONCLUSION: In view of the more invasive operative approach with additional soft tissue injuries, application of an additional cerclage should still be considered carefully. Nevertheless, a mini-open approach to difficult fractures could be helpful in reducing the fracture with a clamp and is sometimes essential. The damage to the soft tissue must be weighed against the benefits of the procedure. An additional cerclage in oblique subtrochanteric fractures is a good option to ensure the reposition and cortical medial support if appropriate and to decrease osteosynthesis failure and rates of non-unions.",
"genre": "research_article",
"id": "sg:pub.10.1007/s00264-010-1204-4",
"inLanguage": [
"en"
],
"isAccessibleForFree": true,
"isPartOf": [
{
"id": "sg:journal.1086603",
"issn": [
"0341-2695",
"1432-5195"
],
"name": "International Orthopaedics",
"type": "Periodical"
},
{
"issueNumber": "8",
"type": "PublicationIssue"
},
{
"type": "PublicationVolume",
"volumeNumber": "35"
}
],
"name": "The benefit of wire cerclage stabilisation of the medial hinge in intramedullary nailing for the treatment of subtrochanteric femoral fractures: a biomechanical study",
"pagination": "1237-1243",
"productId": [
{
"name": "readcube_id",
"type": "PropertyValue",
"value": [
"9b11b7d6190ef3b21452720945abaa54c4d67e17530dfae36ffc848416c5cbf0"
]
},
{
"name": "pubmed_id",
"type": "PropertyValue",
"value": [
"21258791"
]
},
{
"name": "nlm_unique_id",
"type": "PropertyValue",
"value": [
"7705431"
]
},
{
"name": "doi",
"type": "PropertyValue",
"value": [
"10.1007/s00264-010-1204-4"
]
},
{
"name": "dimensions_id",
"type": "PropertyValue",
"value": [
"pub.1032551006"
]
}
],
"sameAs": [
"https://doi.org/10.1007/s00264-010-1204-4",
"https://app.dimensions.ai/details/publication/pub.1032551006"
],
"sdDataset": "articles",
"sdDatePublished": "2019-04-10T21:32",
"sdLicense": "https://scigraph.springernature.com/explorer/license/",
"sdPublisher": {
"name": "Springer Nature - SN SciGraph project",
"type": "Organization"
},
"sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8687_00000489.jsonl",
"type": "ScholarlyArticle",
"url": "http://link.springer.com/10.1007/s00264-010-1204-4"
}
]Download the RDF metadata as: json-ld nt turtle xml License info
JSON-LD is a popular format for linked data which is fully compatible with JSON.
curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00264-010-1204-4'
N-Triples is a line-based linked data format ideal for batch operations.
curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00264-010-1204-4'
Turtle is a human-readable linked data format.
curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00264-010-1204-4'
RDF/XML is a standard XML format for linked data.
curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00264-010-1204-4'
This table displays all metadata directly associated to this object as RDF triples.
240 TRIPLES
21 PREDICATES
68 URIs
37 LITERALS
25 BLANK NODES