September 23, 2026 · Journal of orthopaedic trauma · DOI: 10.1097/BOT.0000000000003285

Cerclage for Fracture Reduction is Not Associated with Nonunion in Vancouver B or C Periprosthetic Femur Fractures with Stable Implants: A Multicenter Retrospective Study

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The authors aimed to investigate whether the use of circumferential cerclage wiring during lateral locked plating for Vancouver B1 and C periprosthetic femur fractures is linked to nonunion rates. Their multicenter retrospective study found no significant association between cerclage use and nonunion, with similar rates of deep infection and implant revision between groups. Overall, the findings suggest that cerclage can be safely used without increasing the risk of nonunion in these fractures with stable implants.

Christopher R Leland, Alice W Wong, Carla H Lehle, Robert K Wagner, Phillip T Grisdela, Jacob S Borgida, Arun Aneja, Thuan V Ly, Nishant Suneja, John J Wixted, Paul T Appleton, Edward K Rodriguez, Mitchel B Harris, Michael J Weaver, Arvind G von Keudell, Derek S Stenquist

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