More metal, more misery: extra wires in thigh surgery linked to infections
NCT ID NCT07434258
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study reviewed 148 patients who had thigh bone or hip replacement-related fracture surgery using metal wires (cerclage) to hold bone pieces together. Researchers found that using more wires was linked to a higher chance of deep infections and prolonged wound drainage. The findings suggest surgeons should use the fewest wires possible to reduce infection risk.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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148 people
The number who actually took part.
- Started
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Apr 2015
- Finished
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Mar 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients who underwent surgical treatment for femoral shaft, subtrochanteric, or periprosthetic femoral fractures at two Level I trauma centers between April 2015 and January 2025.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Skeletally mature adult patients (≥18 years old). * Diagnosis of femoral shaft, subtrochanteric, or periprosthetic femoral fractures (Vancouver Types B1, B2, and B3). * Surgical stabilization using metallic cerclage wires or cables as an adjunct to intramedullary nails or locking plates. * Minimum clinical and radiological follow-up of 12 months. Exclusion Criteria: * Open fractures (Gustilo-Anderson types I-III). * Pathological fractures secondary to malignancy. * History of active infection or septic arthritis in the ipsilateral limb prior to the index procedure. * Treatment with non-metallic polymer cables.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
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