Comparison of cerclage techniques using a hose clamp versus monofilament cerclage wire or cable

1997 ◽  
Vol 12 (7) ◽  
pp. 772-776 ◽  
Author(s):  
Anmin Liu ◽  
Daniel O. O'Connor ◽  
William H. Harris
Keyword(s):  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chao-Jui Chang ◽  
Wei-Ren Su ◽  
Kai-Lan Hsu ◽  
Chih-Kai Hong ◽  
Fa-Chuan Kuan ◽  
...  

Abstract Background Poor functional outcome can result from humeral greater tuberosity (GT) fracture if not treated appropriately. A two-screw construct is commonly used for the surgical treatment of such injury. However, loss of reduction is still a major concern after surgery. To improve the biomechanical strength of screw fixation in GT fractures, we made a simple modification of the two-screw construct by adding a cerclage wire to the two-screw construct. The purpose of this biomechanical study was to analyze the effect of this modification for the fixation of GT fractures. Materials and methods Sixteen fresh-frozen human cadaveric shoulders were used in this study. The fracture models were arbitrarily assigned to one of two fixation methods. Group A (n = 8) was fixed with two threaded cancellous screws with washers. In group B (n = 8), all screws were set using methods identical to group A, with the addition of a cerclage wire. Horizontal traction was applied via a stainless steel cable fixed directly to the myotendinous junction of the supraspinatus muscle. Displacement of the fracture fixation under a pulling force of 100 N/200 N and loading force to construct failure were measured. Results The mean displacements under 100 N and 200 N traction force were both significantly decreased in group B than in group A. (100 N: 1.06 ± 0.12 mm vs. 2.26 ± 0.24 mm, p < 0.001; 200 N: 2.21 ± 0.25 mm vs. 4.94 ± 0.30 mm, p < 0.001) Moreover, the failure load was significantly higher in group B compared with group A. (415 ± 52 N vs.335 ± 47 N, p = 0.01), Conclusions The current biomechanical cadaveric study demonstrated that the two-screw fixation construct augmented with a cerclage wire has higher mechanical performance than the conventional two-screw configuration for the fixation of humeral GT fractures. Trial registration Retrospectively registered.


2020 ◽  
Author(s):  
Nutchanat Thongchuea ◽  
Eakkachai Warinsiriruk ◽  
Noppakorn Phuraya ◽  
Paphon Sa-Ngasoongsong

2010 ◽  
Vol 71 (8) ◽  
pp. 470-471
Author(s):  
Charles A Willis-Owen ◽  
Matthew J Crocker ◽  
David K Martin

2018 ◽  
Vol 09 (06) ◽  
pp. 197-202
Author(s):  
Hrishikesh Saodekar ◽  
Salphale Yogesh
Keyword(s):  

2019 ◽  
Vol 32 (06) ◽  
pp. 492-498 ◽  
Author(s):  
Sophie Boorman ◽  
Amy L. Johnson ◽  
Thomas P. Schaer ◽  
Marie-Eve Fecteau

Objective The aim of this study was to describe the signalment, clinical presentation, diagnostic findings, medical and surgical treatment and outcome of 22 farm animals diagnosed with a vertebral fracture or luxation. Study design Medical records of 22 farm animals (7 goats, 6 alpacas, 5 cattle, 3 sheep and 1 deer) were reviewed for signalment, history, presenting clinical signs and neurological examination findings, clinicopathological results, diagnostic imaging, final diagnosis, medical and surgical management, clinical progression and outcome. Results Animals' age ranged from 1 day to 15 years. Neurological examination findings included decreased motor function (20/22), recumbency (14/22), altered mentation (13/22), cranial nerve deficits (4/22) and lack of nociception (3/22). Lesions were localized to the atlanto-occipital region (2/22), C1 to C5 (7/22), C6 to T2 (4/22), T3 to L3 (3/22), and L4 to S1 (6/22). Diagnoses included vertebral fracture only (4/22), luxation only (5/22) or both vertebral fracture and luxation (13/22). In five cases, no therapy was attempted, while 12 cases were treated medically and five cases were treated surgically. Surgical interventions included manual reduction (n = 1); arthrodesis (n = 2); laminectomy (n = 1); and laminectomy with pin fixation, cerclage wire and polymethylmethacrylate bridging (n = 1). Five of the 22 cases survived to hospital discharge; two of these were treated surgically. Conclusion The cervical region was most commonly affected. Prognosis for these injuries in farm animals is guarded.


2019 ◽  
Vol 276 ◽  
pp. 01033
Author(s):  
Muhtar ◽  
Sri Murni Dewi ◽  
Wisnumurti ◽  
As’ad Munawir

Bamboo can use at the simple concrete construction because of the tensile strength of its mechanical property. Meanwhile, a slippery surface of the bamboo caused cracks in the bamboo reinforced concrete beam (BRC) not to spread and yield slip failure between a bamboo bar and concrete. Load test at the BRC beam yield humble load capacity. This study aims to improve the capacity and behavior of BRC beam bending by giving waterproof coating, sand, and hose clamp installation. The beam test specimen with the size of 75x150x1100mm made as many as 26 pieces with the variety of reinforcement. The hose clamp used on the bamboo reinforcement varies with a distance of 0 cm, 15 cm, 20 cm, and 25 cm. The testing using a simple beam with two-point loading. The test results show that BRC beams have different bending behavior compared to the steel reinforced concrete beam (SRC).


2018 ◽  
Vol 104 (3) ◽  
pp. 377-381 ◽  
Author(s):  
M. Ehlinger ◽  
L. Niglis ◽  
H. Favreau ◽  
S. Kuntz ◽  
G. Bierry ◽  
...  

2019 ◽  
Vol 26 ◽  
pp. 100896 ◽  
Author(s):  
Muhtar ◽  
Sri Murni Dewi ◽  
Wisnumurti ◽  
As'ad Munawir

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