Cerclage-Wiring-Assisted Fixation of Difficult Hand Fractures

2006 ◽  
Vol 31 (6) ◽  
pp. 637-642 ◽  
Author(s):  
L. C. TEOH ◽  
P. L. TAN ◽  
S. H. TAN ◽  
E. C. CHEONG
Keyword(s):  
Stainless Steel ◽  
Stable Fixation ◽  
Cerclage Wire ◽  
Steel Wires ◽  
Initial Stability ◽  
Hand Fractures ◽  
Active Range Of Motion ◽  
Loss Of Reduction ◽  
Cerclage Wiring

Difficult hand fractures with multiple butterfly fragments, multiple cortical splits or intraarticular extension continue to pose a challenge for optimal stable fixation that allows early postoperative mobilisation. In this study, we describe the use of cerclage-wire-assisted fixation of 17 difficult hand fractures in 16 patients. The cerclage wires helped to maintain the reduction, so providing sufficient initial stability for placement of a plate and screws. Stable fixation of the fracture was then accomplished without losing the reduction. One to three cerclages of stainless-steel wires were used for the preliminary fixation. Stable fixation was then accomplished by a bridging or neutralising plate technique. Postoperatively, the fixation was sufficiently stable to allow immediate mobilisation. With an average follow up of 44.5 months, all 17 fractures united without loss of reduction. At final follow-up, the average total active range of motion was 247° (range 220–260°).

scholarly journals Comparison of polyetheretherketone cables and stainless steel wires for sternal fixation after median sternotomy

2021 ◽  
Vol 49 (9) ◽  
pp. 030006052110412
Author(s):  
Duanchao Shu ◽  
Jianpeng Li ◽  
Yixin Zhao ◽  
Yan Yang
Keyword(s):  
Stainless Steel ◽  
Steel Wire ◽  
Median Sternotomy ◽  
Control Group ◽  
Steel Wires ◽  
Fixation Effect ◽  
Significant Difference ◽  
Patient State ◽  
Experimental Group

Objective To compare the sternal fixation effect of a polyetheretherketone (PEEK) cable product and stainless steel wire after median sternotomy. Methods A multicentre retrospective clinical trial was conducted in patients that underwent median sternotomy for a range of surgical reasons. The sternum was fixed using PEEK sternal cables in the experimental group and stainless steel wires in the control group. The general patient state, product manoeuvrability, bone and wound healing state and blood test results were evaluated at seven visits during the preoperative, surgical and follow-up periods. Results A total of 108 patients (54 in each group) were included in the analysis at the final 180-day follow-up. The sternum was successfully closed using PEEK cables or steel wires in all patients and all healed well. No pathological changes were found on the X-ray imaging. Computed tomography imaging confirmed ideal fracture healing. No significant difference was found between the experimental group and the control group in outcomes. Conclusion PEEK cables are easy to implant and show desirable effectiveness in sternal fixation without any observed side-effects.

scholarly journals Acute Traumatic Patellar Tendon Rupture at the Tibial Tuberosity Attachment without Avulsion Fracture

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Shuichi Miyamoto ◽  
Makoto Otsuka ◽  
Fumio Hasue ◽  
Takayuki Fujiyoshi ◽  
Koushirou Kamiya ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Surgical Treatment ◽  
Patellar Tendon ◽  
Tendon Rupture ◽  
Avulsion Fracture ◽  
Tibial Tuberosity ◽  
Traumatic Rupture ◽  
Patellar Tendon Rupture ◽  
Steel Wires

Patellar tendon rupture in children is especially rare. The fact that the area of traumatic rupture has wide variations makes surgical treatment difficult. We present an 11-year-old boy with acute traumatic patellar tendon rupture at the tibial tuberosity attachment without avulsion fracture. Primary end-to-end repair and reinforcement using 1.5 mm stainless steel wires as a surgical strategy were undertaken. Early range of motion began with a functional knee brace and the reinforced stainless wire was removed 3 months after surgery. Knee function at the final follow-up was satisfactory. We suggest that this strategy may provide a useful option for surgical treatment.

BRILLIANT 2101 T-1 AP

Alloy Digest ◽  
2012 ◽  
Vol 61 (4) ◽  
Keyword(s):  
Fracture Toughness ◽  
Stainless Steel ◽  
Tensile Properties ◽  
Stainless Steels ◽  
Duplex Stainless Steels ◽  
Good Balance ◽  
Steel Wires

Abstract Stoody AP stainless steel wires are all-position wires. The nickel in this product will achieve a good balance of austenite and ferrite in lean duplex stainless steels. This datasheet provides information on composition and tensile properties as well as fracture toughness. It also includes information on forming and joining. Filing Code: SS-1118. Producer or source: Stoody Company.

scholarly journals Application of Polydioxanone Sutures in the Nuss Procedure

2021 ◽  
Author(s):  
Yimin Xie ◽  
Jinbo Ning
Keyword(s):  
Surgical Repair ◽  
Steel Wire ◽  
The Other ◽  
Risk Indicators ◽  
Nuss Procedure ◽  
Level Of Evidence ◽  
Wire Breakage ◽  
Steel Wires ◽  
Duration Of Operation

Abstract Background/Purpose The Nuss procedure is the most common surgical repair for pectus excavatum (PE). Surgical steel wires are used in some modifications of the Nuss procedure to attach one or both ends of a support bar to the ribs. During follow-up, wire breakage was found in some cases. Patients with wire breakage may undergo prolonged bar removal surgery and may be exposed to excessive radiation.In this study, we had a series of patients who received polydioxanone suture (PDS) fixations instead of steel wires. This retrospective study was conducted to explore the differences between these two fixation materials in the incidence of related complications and efficacies. Furthermore, we attempted to observe whether the two materials lead to similar surgical efficacy in the Nuss procedure, whether they have divergent effects on the bar removal surgery, and whether PDS can reduce the risks due to steel wire breakage as expected. Methods We retrospectively studied PDS and surgical steel wires as fixation materials for the Nuss procedure in children with congenital PE and reviewed the outcomes and complications. A total of 75 children who had undergone Nuss procedure repairs and bar removals from January 2013 to December 2019 were recruited to participate in this study. They were divided into three groups: the PDS group, the unbroken wire (UBW) group, and the broken wire (BW) group, according to the fixation materials and whether the wires had broken or not. Moreover, we selected the duration of operation (DO), intraoperative blood loss (BL), bar displacement (BD), postoperative pain score (PPS), and incision infection as the risk indicators and the postrepair Haller index (HI) as the effectiveness indicator. These indicators were statistically compared to determine whether there were differences among the three groups. Results One BD occurred in the PDS and BW groups while none took place in the UBW group. No incision infection was found in any of the groups. The PDS group had the shortest DO, while the DO in the UBW group was shorter than that in the BW group (p < 0.05). BL in the PDS group was less than that in the other two groups (p < 0.05). Additionally, no difference was observed in BL between the BW and UBW groups (p > 0.05). The PPS of the PDS group was less than that of the BW group (p < 0.05), whereas no differences were found between the other two groups. No statistical difference emerged in HI among the groups (p > 0.05). Conclusion PDS fixation results in a similar repair outcome and shows certain advantages in the DO, BL, and PPS; also, PDSs are safe and effective in the Nuss procedure. Level of evidence Level III.

scholarly journals Failure analysis and recommendations for treatment of posttraumatic non-unions of the distal humerus during childhood

2021 ◽  
Vol 47 (2) ◽  
pp. 313-324 ◽  
Author(s):  
Dirk Walther Sommerfeldt ◽  
Peter Paul Schmittenbecher
Keyword(s):  
Failure Analysis ◽  
Revision Surgery ◽  
Distal Humerus ◽  
Implant Removal ◽  
Supracondylar Fractures ◽  
Stable Fixation ◽  
Non Union ◽  
Pediatric Traumatology ◽  
Clinical Cases

Abstract Purpose Non-unions of the distal humerus are rare complications of common children’s fractures such as radial condyle fractures and supracondylar fractures. The aim of this paper was to update the knowledge about etiology, reasons, management, and results of these troublesome, and sometimes debilitating entities. Methods The sparse literature concerning nonunions following condylar or supracondylar fractures was analyzed together with the presentation of some typical clinical cases. Results In most of the cases, non-unions were induced by neglect, unstable fixation, too early implant removal, too much revision surgery, and an inconsequent transfer of follow-up algorithms, or combinations of the above. Treatment of non-union should start as early as possible because the effort of required surgery increases with time that the nonunion has been neglected. Often a combination of stable fixation of the pseudarthrosis and correction of the elbow axis are necessary to achieve a satisfying outcome. Conclusion In pediatric traumatology, qualified and consequent care for children’s fractures of the distal humerus can prevent rare complications such as non-unions in almost any situation. If such a disturbance of healing is noticed, immediate and adequate, i.e. children specific surgical consequences achieve best results.

Stainless Steel 2.0-mm Locking Compression Plate Osteosynthesis System for the Fixation of Comminuted Hand Fractures in Asian Adults

2011 ◽  
Vol 15 (2) ◽  
pp. 57-61
Author(s):  
Wong Hing-Cheong ◽  
Wong Hin-Keung ◽  
Wong Kam-Yiu
Keyword(s):  
Stainless Steel ◽  
Plate Osteosynthesis ◽  
Locking Compression Plate ◽  
Implant Removal ◽  
Hand Functions ◽  
Hand Fractures ◽  
Additional Surgery ◽  
Metacarpal Bones ◽  
Compression Plate ◽  
Grip Power

Objective The aim of this retrospective study was to analyse the clinical outcome of the application of stainless steel 2.0-mm locking compression plate (LCP) system for the treatment of comminuted hand fractures in Asian adults. Methods Six patients who had comminuted hand fractures were treated by open reduction and internal fixation with the application of stainless steel 2.0-mm LCP (AO Compact Hand System; Synthes, Oberdorf, Switzerland) from December 2009 to October 2010. The total arc of motion of fingers, grip power, complications, and additional surgery were recorded. Results Three out of six patients eventually restored good hand functions in terms of the total arc of finger motion (>220°) and grip power. The commonest complication was skin impingement in finger region by the implant (4 cases). Another common complication was restricted range of motion (3 cases). One patient had minimal degree of malrotation of his left little finger. Additional surgery was required in all the patients for implant removal (6 cases), tenolysis (3 cases), and capsulotomy (2 cases). Conclusions The stainless steel 2.0-mm LCP is useful for the fixation of unstable comminuted hand fractures, especially in metacarpal bones, because of its advantage of better stability, which allows more aggressive rehabilitation. However, its design is not very versatile and, therefore, limits its use in the finger region. Its bulkiness frequently causes implant impingement. The patients must be informed about the chance of implant removal later.

Bending Properties of General Purpose Stainless Steel Wire Formed for Orthodontic Use

2013 ◽  
Vol 746 ◽  
pp. 394-399
Author(s):  
Niwat Anuwongnukroh ◽  
Yosdhorn Chuankrerkkul ◽  
Surachai Dechkunakorn ◽  
Pornkiat Churnjitapirom ◽  
Theeralaksna Suddhasthira
Keyword(s):  
Mechanical Properties ◽  
Stainless Steel ◽  
Orthodontic Treatment ◽  
Steel Wire ◽  
General Purpose ◽  
Stainless Steel Wire ◽  
Bending Test ◽  
Bending Properties ◽  
Steel Wires ◽  
Significant Difference

The archwire is generally used in fixed appliances for orthodontic treatment to correct dental malocclusion. However, it is interesting to know whether general purpose stainless steel wire could replace commercial orthodontic archwire in orthodontic practice for economic reasons. The purpose of this study was to determine the bending properties of general purpose stainless steel wire compared with commercial orthodontic stainless steel wires after forming as an archwire for orthodontic use. The samples used in this study were 90 general purpose and 45 commercial (Highland) round stainless steel wires in 0.016, 0.018, and 0.020 sizes (30 general purpose and 15 commercial wires for each size). All 15 general purpose stainless steel wires with different sizes were formed into orthodontic archwire with a Universal Testing Machine. All samples were tested (three-point bending test) for mechanical properties. The results showed no significant difference between general purpose and commercial orthodontic wires in size 0.016 for 0.1 mm offset bending force, 0.2% yield strength, and springback. Although many mechanical properties of general purpose wires differed from commercial wires, their values conformed to other previous studies within the range of clinical acceptance. In conclusion, orthodontic formed general purpose round stainless steel wires had statistically different (p <0.05) mechanical properties from commercial orthodontic stainless steel wires (Highland) but the mechanical properties were acceptable to use in orthodontic treatment.

Flexure Modulus of Orthodontic Stainless Steel Wires

1981 ◽  
Vol 60 (2) ◽  
pp. 139-145 ◽  
Author(s):  
D.K. Yoshikawa ◽  
C.J. Burstone ◽  
A.J. Goldberg ◽  
J. Morton
Keyword(s):  
Stainless Steel ◽  
Steel Wires

Recrystallization and Grain Growth of 316L Stainless Steel Wires

2014 ◽  
Vol 45 (8) ◽  
pp. 3446-3453 ◽  
Author(s):  
Xiuyun Zhao ◽  
Yong Liu ◽  
Yan Wang ◽  
Ping Feng ◽  
Huiping Tang
Keyword(s):  
Stainless Steel ◽  
Grain Growth ◽  
316L Stainless Steel ◽  
Steel Wires

scholarly journals EP.WE.105Hand trauma during COVID pandemic: a tertiary trauma centre experience

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Amir Ghareib ◽  
Sylwia Oniska ◽  
Laura Karran ◽  
Jamil Moledina
Keyword(s):  
High Volume ◽  
Trauma Centre ◽  
Active Movement ◽  
Trauma Patients ◽  
University Hospitals ◽  
Hand Fractures ◽  
Good Movement ◽  
Hand Fracture ◽  
June July

Abstract Introduction St. George’s University Hospitals NHS Foundation Trust is a tertiary trauma centre. We receive a high volume of hand referrals from all over the south West London region. Closed hand fractures represent a significant number of our referrals. COVID-19 has put more burden in all health service endangering poor management of these trauma patients. Aim To assess management of close hand trauma patients during COVID pandemic. Methods Retrospective evaluation of closed hand fracture referrals during June, July, and August 2020. Clinical documentations, operative details and follow up visit notes have been reviewed. Results 106 patients have been included. 47 patients treated surgically with 81% of them were in need for metalwork insertion. Most of operations were done within 8 days. Number of hospital visits was variable with a mean of six days for adult and two days for children. Patient who was in need for hand therapy have been seen within the first 8 days of their surgery. At three months follow up, only three cases had infection. Only one case had osteomyelitis and the other two case had infected metalwork. Most of the patents reported good movement in ASSH Total Active Movement of Hand score (TAM) at the end of the three months. Conclusion Despite COVID 19 pandemic our service managed to achieve acceptable results in dealing with these cases. Yet, securing a reasonable number of operating sessions and clinic appointments remains a challenge.

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