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Results of titanium locking plate and stainless steel cerclage wire combination in femoral fractures

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Abstract

Background: Some in vitro studies warn combining different metals in orthopedic surgery. The aim of this study is to determine the impact of combining titanium and stainless steel on bone healing and the clinical course of patients undergoing internal fxation of femoral fractures.

Materials and Methods: 69 patients with femoral fractures had polyaxial locking plate osteosynthesis. The locking plate was made of a titanium alloy. Two different cohorts were defned: (a) sole plating and (b) additional stainless steel cerclage wiring. Postoperative radiographs and clinical followup were performed at 6 weeks, 3 months and 12 months.

Results: Cohorts A and B had 36 and 33 patients, respectively. Patient demographics and comorbidities were similar in both groups. In two cases in cohort A, surgical revision was necessary. No complication could be attributed to the combination of titanium and stainless steel.

Conclusion: The combination of stainless steel cerclage wires and titanium plates does not compromise fracture healing or the postoperative clinical course.

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Authors and Affiliations

  1. Department of Trauma, Hand and Reconstructive Surgery, University Hospital Marburg, Baldingerstrasse, 35033, Marburg, Germany

    Steffen Ruchholtz, Dimitri Kreslo & Ralph Zettl

  2. Department of Orthopaedics, University Hospital Marburg, Baldingerstrasse, 35033, Marburg, Germany

    Bilal Farouk El-Zayat, Turgay Efe & Jürgen Paletta

Authors
  1. Bilal Farouk El-Zayat
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  2. Steffen Ruchholtz
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  3. Turgay Efe
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  4. Jürgen Paletta
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  5. Dimitri Kreslo
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  6. Ralph Zettl
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Correspondence to Bilal Farouk El-Zayat.

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El-Zayat, B.F., Ruchholtz, S., Efe, T. et al. Results of titanium locking plate and stainless steel cerclage wire combination in femoral fractures. IJOO 47, 454–458 (2013). https://doi.org/10.4103/0019-5413.118200

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  • DOI: https://doi.org/10.4103/0019-5413.118200

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