Non-Metallic Cerclage Fixation Methods for Proximal Femoral Osteotomy and Periprosthetic Hip Fractures Offer Promising Outcomes: A Systematic Review
Authors: Parsa A, Chishti Z, Saeed SK, Carbone AD, Domb BG, Schinsky MF
Journal:Journal of Orthopaedics, January 2024
Objective:
To evaluate the safety and effectiveness of non-metallic cerclage fixation compared to traditional metallic methods in proximal femoral osteotomy and periprosthetic fracture cases.
Key Findings:
- Non-metallic cerclage fixation showed fewer cases of implant subsidence and no fixation failures.
- Both fixation types demonstrated high rates of bone healing, but non-metallic cerclage was associated with fewer complications.
- Patient-reported outcomes were comparable between groups.
Conclusion:
Non-metallic cerclage fixation offers a safe and reliable alternative to metallic cerclage, with potential advantages in reducing specific complications.
What Does This Mean for Providers?
- Consider non-metallic cerclage fixation as a viable option in complex hip surgeries involving osteotomy or periprosthetic fractures to potentially reduce implant subsidence and complication rates.
- Patient selection and surgical technique remain critical; however, adopting non-metallic options may improve fixation reliability.
- Monitoring long-term outcomes will help define best practices in fixation methods.