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ORIGINAL ARTICLE
Year : 2013  |  Volume : 47  |  Issue : 5  |  Page : 454-458

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


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

Correspondence Address:
Bilal Farouk El-Zayat
Department of Orthopaedics, University Hospital Marburg, Baldingerstrasse - 35043 Marburg
Germany
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.118200

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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 fixation 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 defined: (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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