When is a cerclage wire used?
Indications They are usually used in conjunction with fractures repaired primarily with intramedullary pin placement. Cerclage wires can protect bone fissures, be used as a temporary fragment stabilizer but never as the only apparatus for a fracture repair.
What is cerclage wire made of?
Cerclage wires (Synthes, Oberdorf, Switzerland article number 291.060) are made of stainless steel delivered in a 10 m coil with a diameter of 1.25 mm.
Should cerclage wires be removed?
Implant removal may be required, as the wires may be prominent under the skin. Implant removal should not be undertaken until a minimum of 1 year postoperatively. Patients should be warned that cerclage wires may break during the healing process and may need to be removed somewhat earlier.
How do you tighten a cerclage wire?
Wire tightening Carefully tighten the wire while pulling away from the patella as the wires are twisted. Avoid over-tightening as this may distort the overall shape of the patella. The wires should be twisted at least 5 times to prevent fixation failure.
What’s a cerclage wire?
Cerclage wire refers to a type of orthopedic fixation/stabilization wire placed to approximate fractured bone fragments.
What does cerclage wire do?
How long do K wires stay in for?
The K wires are generally left in place for an average of 2 to 3 weeks. When the fracture is not tender to firm palpation between a thumb and index finger, the K wires can usually be removed; this is a clinically healed fracture.
What is Cerclage removal?
In a cervical cerclage, strong stiches (sutures) are used to close the cervix during pregnancy to help prevent premature birth. Typically, the stitches are removed during the last month of pregnancy.
What does cerclage mean?
[ sār-kläzh′, sər- ] n. The use of an encircling wire loop or ring to bring together the ends of an obliquely fractured bone or the fragments of a broken patella. tiring.
What is the use of cerclage wire in surgery?
Cerclage wiring is a simple technique that has been practiced widely since the advent of surgical treatment of fractures. Many studies have reported the use of various cerclage technologies with a wide range of results and clinical applications.
What kind of wire is used to stabilize bone?
The term “cerclage” wire refers to encircling fragments and tensioning the wire to hold fragments in alignment. Full cerclage wires encircle the entire circumference of the bone while hemi-cerclage wires are placed through holes in the bone to stabilize adjacent fragments.
How big of a wire do you need for cerclage?
Choose a wire of enough strength to withstand the tensile forces generated in the cerclage (1.0 – 1.25 mm diameter). The wire should be as close as possible to the bone throughout its whole course both superiorly and inferiorly.
Can a cerclage be used as a splint?
The increasing numbers of periprosthetic fractures have led to a revival of interest for this simple technique. When cerclages function as implants, they may be used alone or together with a protecting device such as external or internal splints (such as plates, nails, stems of prosthesis or a combination of thereof).