Journal: Medicina

Article Title: Titanium Cable Cerclage Increases the Load to Failure in Plate Osteosynthesis for Distal Femoral Fractures

doi: 10.3390/medicina60091524

Figure Lengend Snippet: Clinical case of an 81-year-old female with a 33-A2.3 distal femoral fracture. Due to nickel allergy, the fracture was surgically treated with direct fracture repositioning using double-looped titanium cerclage and retrograde-inserted, polyaxially angular plate osteosynthesis.

Article Snippet: Thereafter, a double-looped titanium cable cerclage (DePuy Synthes, West Chester, PA, USA) was attached to all specimens assigned to Group 1.

Techniques:

Journal: Medicina

Article Title: Titanium Cable Cerclage Increases the Load to Failure in Plate Osteosynthesis for Distal Femoral Fractures

doi: 10.3390/medicina60091524

Figure Lengend Snippet: Images illustrating the application of the titanium cerclage. Photograph ( a ) demonstrates the use of the cable tensioner. After the desired tension was achieved (200 N), a cable crimper was used to tighten the cerclage (photograph ( b )).

Article Snippet: Thereafter, a double-looped titanium cable cerclage (DePuy Synthes, West Chester, PA, USA) was attached to all specimens assigned to Group 1.

Techniques:

Journal: Medicina

Article Title: Titanium Cable Cerclage Increases the Load to Failure in Plate Osteosynthesis for Distal Femoral Fractures

doi: 10.3390/medicina60091524

Figure Lengend Snippet: Typical postoperative X-rays of a sample pair illustrating an anatomical fracture reduction with plate osteosynthesis in the left specimen (Group 2) and plate fixation with an additional titanium cable cerclage in the right specimen (Group 1).

Article Snippet: Thereafter, a double-looped titanium cable cerclage (DePuy Synthes, West Chester, PA, USA) was attached to all specimens assigned to Group 1.

Techniques:

Journal: Medicina

Article Title: Titanium Cable Cerclage Increases the Load to Failure in Plate Osteosynthesis for Distal Femoral Fractures

doi: 10.3390/medicina60091524

Figure Lengend Snippet: Depiction of the load to failure in the eleven pairs of examined specimens. The black bars illustrate the samples that were stabilized using plate osteosynthesis and additional titanium cerclage. The samples treated exclusively with plate osteosynthesis are represented by gray bars.

Article Snippet: Thereafter, a double-looped titanium cable cerclage (DePuy Synthes, West Chester, PA, USA) was attached to all specimens assigned to Group 1.

Techniques:

Journal: Medicina

Article Title: Titanium Cable Cerclage Increases the Load to Failure in Plate Osteosynthesis for Distal Femoral Fractures

doi: 10.3390/medicina60091524

Figure Lengend Snippet: Fracture behavior when reaching the termination criteria. Multiple options were possible.

Article Snippet: Thereafter, a double-looped titanium cable cerclage (DePuy Synthes, West Chester, PA, USA) was attached to all specimens assigned to Group 1.

Techniques: Blocking Assay

Journal: Medicina

Article Title: Titanium Cable Cerclage Increases the Load to Failure in Plate Osteosynthesis for Distal Femoral Fractures

doi: 10.3390/medicina60091524

Figure Lengend Snippet: Images illustrating the different types of osteosynthesis failure. Photographs ( a , b ) demonstrate the most common type of failure in Group 2, with cutting of the distal screws out of the condyle region leading to a shear of the condyles along the fracture line toward the proximal region. Picture ( c ) illustrates a multifragmentary shaft fracture with an additional tear of the cerclage in a specimen in Group 1. Photographs ( d , e ) show the most common fracture pattern in Group 1, corresponding to the fracture pattern shown in pictures ( a , b ). In 36% of the patients in Group 1, a fracture of the dorsal buttress proximal to the cerclage occurred (with additional cerclage in this patient). Photograph ( f ) shows irreversible deformation of the plate with an additional tear of the cerclage. The X-ray image in ( g ) shows the tilt of the distal screws without cutting out of the condylar block. This type of failure occurred in both groups.

Article Snippet: Thereafter, a double-looped titanium cable cerclage (DePuy Synthes, West Chester, PA, USA) was attached to all specimens assigned to Group 1.

Techniques: Shear, Blocking Assay