title: Percutaneous cerclage wiring for reduction of periprosthetic and difficult femoral fractures. A technical note.
abstract: BACKGROUND
  Combining closed reduction techniques with minimally invasive plate osteosynthesis (MIPO) or intramedullary nailing is a technically challenging procedure, especially when dealing with complex femoral fractures such as periprosthetic fractures. Cerclage wiring is a well known adjunct for fracture reduction and fixation. However, it is usually performed by open reduction, requiring wide surgical exposures, that results in soft tissue stripping.
  
  
  OBJECTIVE
  To present how a novel cerclage wiring technique, employing a new percutaneous cerclage system, helped reduce a periprosthetic femoral fracture, fixed with MIPO, and a difficult proximal femoral fracture, stabilized with an intramedullary nail.
  
  
  CONCLUSIONS
  Percutaneous wiring is an alternative reduction technique to facilitate the reduction and maintenance of difficult femoral fractures, which reduces the radiation exposure to the surgeon.
authors.affiliation: Department of Orthopedics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand. tapivath@gmail.com
authors.forename: T
authors.initials: T
authors.lastname: Apivatthakakul
authors.forename: C
authors.initials: C
authors.lastname: Phornphutkul
mesh_terms: D000369:Aged, 80 and over; D001860:Bone Plates; D001864:Bone Wires; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D056888:Patient Positioning; D011859:Radiography; D016896:Treatment Outcome