Saint Saulve

The trial investigates the use of cerclage wiring, a common method to support healing in long bone fractures, especially in the femur or humerus. As more people receive hip and shoulder prostheses, fractures around these implants are increasing, mainly in older adults. The study compares a new polymer cerclage system called OrthoLoop with the standard metallic cerclage systems used in current medical care, aiming to assess their effect on fracture healing and bone consolidation over time. Participants will be placed into one of two groups: one receiving the OrthoLoop polymer cerclage and the other receiving the standard metallic cerclage used in routine practice. Both groups undergo surgical implantation of their assigned cerclage system, followed by a 36-month follow-up period. During this time, patients will have consultations and assessments at 6-8 weeks, 3 months, 6 months, and 36 months after surgery to monitor healing and recovery. Throughout the study, researchers will measure how well the fractures consolidate six months after surgery, comparing the polymer cerclage to standard care. Patients will be evaluated using clinical visits where outcomes such as bone healing, possible complications, and overall function will be recorded. The study also tracks any side effects and long-term results for three years to better understand the safety and effectiveness of the polymer cerclage system.