Clinical outcomes of limited open reduction and intramedullary nailing with steel cable cerclage in Seinsheimer III femoral subtrochanteric fractures

Limited open reduction combined with intramedullary nailing and steel cable cerclage is a safe and effective approach for treating Seinsheimer III femoral subtrochanteric fractures. It provides faster bone healing, reduced intraoperative blood loss, improved early functional recovery, and does not increase complication risks. These findings support the clinical utility of steel cable cerclage as an adjunct fixation method, particularly for cases where closed reduction is challenging. Further prospective, large-scale studies are needed to confirm these results and refine surgical techniques for optimal patient outcomes.