{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:47:56Z","timestamp":1783054076018,"version":"3.54.6"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T00:00:00Z","timestamp":1612742400000},"content-version":"vor","delay-in-days":38,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Due to the instability of unstable intertrochanteric fractures, the selection of a suitable internal fixation has always been a challenge for orthopedic surgeons. This study is aimed at comparing the clinical efficacy of PFNA combined with cerclage cable and without cerclage cable and finally recommend a stable internal fixation method to provide the basis for clinical therapy. From January 2014 to January 2018, we retrospectively analyzed all cases of unstable intertrochanteric fractures who received treatment in the Orthopedics Department of our hospital and finally screened 120 cases, 51 of whom were treated with cerclage cable, 69 without cerclage cable. The follow\u2010up period was one year. HHS, BI, and RUSH scores were given within the specified time. We divided the patients into the PFNA+cable (PFNA combined with cerclage cable) group and the PFNA group. The time of fracture healing and weight\u2010bearing in the PFNA+cable group was shorter than that in the PFNA group. With regard to HHS, BI, and RUSH, the PFNA+cable group was higher than the PFNA group at 1 month, 3 months, 6 months, and 12 months after operation. For HHS rating, the PFNA+cable group has a higher excellent rate than the PFNA group, which was 96.1% and 84.1%, respectively. All the results mentioned above were statistically significant. Compared with the group without cerclage cable, the application of cerclage cable can reduce the incidence of complications. From the comparison between the two groups, it can be seen that the surgical method of PFNA combined with cerclage cable can not only help to improve the stability of fracture reduction, shorten the time of fracture healing and postoperative weight\u2010bearing, and significantly improve patients\u2019 self\u2010care ability but also reduce the incidence of postoperative complications. Therefore, we think PFNA combined with cerclage cable is a good choice.<\/jats:p>","DOI":"10.1155\/2021\/8875370","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T04:48:54Z","timestamp":1612846134000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Surgical Selection of Unstable Intertrochanteric Fractures: PFNA Combined with or without Cerclage Cable"],"prefix":"10.1155","volume":"2021","author":[{"given":"Chaoqing","family":"Huang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3563-9598","authenticated-orcid":false,"given":"Xing","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,8]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-018-3008-3"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-018-2285-9"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000008169"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-016-0988-9"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001063"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2018.6214"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2018.6177"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/147323001003800408"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjtee.2018.01.001"},{"key":"e_1_2_9_10_2","doi-asserted-by":"crossref","unstructured":"BanaszkiewiczP. A. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty: an end-result study using a new method of result evaluation In Classic Papers in Orthopaedics 2014 Springer London 13\u201317.","DOI":"10.1007\/978-1-4471-5451-8_3"},{"key":"e_1_2_9_11_2","first-page":"61","article-title":"Functional evaluation: the Barthel index","volume":"14","author":"MAHONEY F. I.","year":"1965","journal-title":"Maryland State Medical Journal"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-013-1605-8"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01563"},{"key":"e_1_2_9_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(17)30489-8"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.11.007"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2018.06.035"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.07.001"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31826fc03f"},{"key":"e_1_2_9_19_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2012.665329"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-016-1761-3"},{"key":"e_1_2_9_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-010-1204-4"},{"key":"e_1_2_9_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-018-2284-3"},{"key":"e_1_2_9_23_2","doi-asserted-by":"publisher","DOI":"10.55095\/achot2011\/031"},{"key":"e_1_2_9_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.10.016"},{"key":"e_1_2_9_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.03.023"},{"key":"e_1_2_9_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.09.019"},{"key":"e_1_2_9_27_2","article-title":"Ulcerated radiodermatitis induced after fluoroscopically guided stent implantation angioplasty","volume":"2014","author":"Herz-Ruelas M. E.","year":"2014","journal-title":"Case Report Dermatology Medicine"},{"key":"e_1_2_9_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.10.038"},{"key":"e_1_2_9_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.01.008"},{"key":"e_1_2_9_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.06.123"},{"key":"e_1_2_9_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-014-1819-4"},{"key":"e_1_2_9_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-014-1260-3"},{"key":"e_1_2_9_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.10.014"},{"key":"e_1_2_9_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.02.005"},{"key":"e_1_2_9_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(03)00027-2"},{"key":"e_1_2_9_36_2","article-title":"Elbow dislocation with complete triceps avulsion","volume":"2014","author":"Karuppiah S. V.","year":"2014","journal-title":"Case Report Orthop"},{"key":"e_1_2_9_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0806-x"},{"key":"e_1_2_9_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(95)93493-2"},{"key":"e_1_2_9_39_2","first-page":"261","article-title":"A comparisive study between intramedullary interlocking nail and plate-screw fixation in the treatment of tibial shaft fractures","volume":"21","author":"Huang P.","year":"2008","journal-title":"Zhongguo Gu Shang"},{"key":"e_1_2_9_40_2","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2010.2.4.227"},{"key":"e_1_2_9_41_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000093.pub4"},{"key":"e_1_2_9_42_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-11-133"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2021\/8875370.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2021\/8875370.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2021\/8875370","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T16:07:43Z","timestamp":1735661263000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2021\/8875370"}},"subtitle":[],"editor":[{"given":"Dohyung","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":42,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1155\/2021\/8875370"],"URL":"https:\/\/doi.org\/10.1155\/2021\/8875370","archive":["Portico"],"relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"2020-09-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"8875370"}}