ORIGINAL RESEARCH article
Front. Med.
Sec. Precision Medicine
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1618583
This article is part of the Research TopicAdvancements in Transcatheter Valve Treatment: Personalized and Precision Approaches for Minimally Invasive Interventional SurgeryView all 4 articles
Clinical Outcomes of Limited Open Reduction and Intramedullary Nailing with Steel Cable Cerclage in Seinsheimer III Femoral Subtrochanteric Fractures
Provisionally accepted
- Shengli Clinical Medical College, Fujian Medical University, Fuzhou, China
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This study aims to evaluate the clinical efficacy and safety of limited open reduction combined with intramedullary nailing and steel cable cerclage in treating Seinsheimer type III femoral subtrochanteric fractures. Surgical outcomes, fracture healing, pain relief, functional recovery, and complication rates were compared with intramedullary nailing alone.A retrospective cohort study was conducted on patients diagnosed with Seinsheimer III subtrochanteric fractures who underwent either intramedullary nailing alone (control group) or intramedullary nailing with steel cable cerclage (observation group).Surgical parameters (operation time, intraoperative blood loss, and hospital stay), bone healing indicators (callus formation, healing time, and swelling regression), postoperative pain (visual analog scale, VAS), hip function (Harris hip score at 1, 3, and 6 months), and complication rates (coxa vara, implant failure, infection, deep vein thrombosis) were compared. Statistical analyses were performed using SPSS 26.0, with a significance threshold of p < 0.05.The observation group experienced significantly less intraoperative blood loss (p < 0.001) and shorter hospital stays (p < 0.001), with no difference in operation time (p = 0.996). Callus formation was more pronounced, and healing time and swelling regression were significantly faster in the observation group (all p < 0.001), indicating improved fracture stability and accelerated healing. VAS scores were lower postoperatively (p = 0.001), and functional recovery at 1 and 3 months was significantly better (p < 0.001), though similar outcomes were observed at 6 months (p = 0.126). The overall complication rate was lower in the observation group, especially for infections, though the difference was not statistically significant (p = 0.161).Limited open reduction combined with intramedullary nailing and steel cable cerclage is a safe and effective approach for treating Seinsheimer III femoral subtrochanteric fractures. It provides faster bone healing, reduced intraoperative blood loss, improved early functional recovery, and does not increase complication risks. These findings support the clinical utility of steel cable cerclage as an adjunct fixation method, particularly for cases where closed reduction is challenging. Further prospective, large-scale studies are needed to confirm these results and refine surgical techniques for optimal patient outcomes.
Keywords: Seinsheimer III femoral subtrochanteric fracture, Intramedullary nailing (IMN), Steel cable cerclage, Limited open reduction, Fracture Healing, functional recovery
Received: 26 Apr 2025; Accepted: 28 Jul 2025.
Copyright: © 2025 Cai, He, Zhang, Chen, Wang, Fang, Xu and He. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Wubing He, Shengli Clinical Medical College, Fujian Medical University, Fuzhou, China
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