Manual of Wiring Techniques for Orthopedic Surgery

Cerclage and tension band wiring techniques can be inexpensively and effectively utilized in orthopedic surgical procedures, many of which are enumerated in this article. The following cerclage wiring configurations are described and demonstrated in accompanying videos: wrapped around once and wrapped around twice patterns locked with a symmetric twist, knot twist, eyelet bend-back, or crimped double barrel sleeve; doubled symmetric twist; hairpin loop; and Mittelmeier’s double loop bend-back with twist. Tension band wiring variations are also described and illustrated. Modes of wire failure are discussed and displayed in videos. Results of previously unreported experiments measuring compression capability of a variety of wire tightening devices and cerclage configurations support the superiority of the wrapped around twice pattern over wrapped around once, symmetric twist over eyelet bend-back and knot twist, and the importance of using a finishing twist when tensioning and locking wire with a symmetric twist or doubled symmetric twist.

Source: Techniques in Orthopaedics - May 22, 2020 Category: Orthopaedics Tags: Special Technical Articles Source Type: research