title: A study of 44 patients with subtrochanteric fractures treated using long nail and cerclage cables.
abstract: OBJECTIVE
  This study aims to demonstrate that the use of long cephalomedullary nail and cerclage cables represents a good strategy in order to reduce the high risk of nonunion of the most displaced subtrochanteric fractures.
  
  
  METHODS
  This retrospective study examines 44 patients with average follow-up of 23 months, with subtrochanteric fracture type SH IIB, IIC, IIIA, IIIB treated by the same operator and with the same nail and cerclage cables. The clinical results which are derived from THRS have been reported.
  
  
  RESULTS
  Clinical and radiological consolidation occurred in all 44 cases, without re-intervention. The average evaluation derived from the THRS was 48 which corresponds to good, according to the scale.
  
  
  CONCLUSIONS
  Considering the anatomic reduction achieved in all patients and the clinical results, we can define the use of long cephalomedullary nail and cerclage cables as the most useful technique in the armamentarium of a trauma surgeon for the treatment of the subtrochanteric fractures.
authors.affiliation: Sapienza University of Rome, Umberto I Hospital, Piazzale Aldo Moro, 5, 00187, Rome, RM, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Persiani
authors.affiliation: Sapienza University of Rome, Umberto I Hospital, Piazzale Aldo Moro, 5, 00187, Rome, RM, Italy. giovanni.noia@live.com.
authors.forename: G
authors.identifier: http://orcid.org/0000-0001-9237-9043
authors.initials: G
authors.lastname: Noia
authors.affiliation: Sapienza University of Rome, Umberto I Hospital, Piazzale Aldo Moro, 5, 00187, Rome, RM, Italy.
authors.forename: C
authors.initials: C
authors.lastname: de Cristo
authors.affiliation: Sapienza University of Rome, Umberto I Hospital, Piazzale Aldo Moro, 5, 00187, Rome, RM, Italy.
authors.forename: J
authors.initials: J
authors.lastname: Graci
authors.affiliation: Sapienza University of Rome, Umberto I Hospital, Piazzale Aldo Moro, 5, 00187, Rome, RM, Italy.
authors.forename: M D
authors.initials: MD
authors.lastname: Gurzì
authors.affiliation: Sapienza University of Rome, Umberto I Hospital, Piazzale Aldo Moro, 5, 00187, Rome, RM, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Villani
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D001864:Bone Wires; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000379:methods; D017102:Fracture Healing; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Cerclage cable; Long cephalomedullary nail; Mini-invasive; Subtrochanteric fracture