Equis ISSN 2398-2977

Bone: internal fixation - wires

Contributor(s): Stephen Adams, Bud G E Fackelman, Graham Munroe, Chris Whitton, Jarred Williams

Introduction

  • Wire sutures can be used alone or in conjunction with screws Bone: internal fixation - screws, plates Bone: internal fixation - plates or pins/nails Bone: internal fixation - pins and nails to stabilize fractures MCP / MTP joint: angular deformity 03 - DPa radiograph.
  • Stainless steel wire provides a strong, small diameter, versatile, malleable material which is useful for stabilizing small fracture fragments with limited space for screw insertion, but applies only a limited amount of compression to the fracture line.
  • Existing firm structures can be utilized as anchor points to increase the compression on a fracture site, eg teeth in mandibular/maxillary fractures Mandible / maxilla: fracture - repair Mandible: fracture 02 - incisive repair with wireMandible: fracture 07 - repair (wire)Mandible: fracture 08 - repair (wire).
  • Tension band pin/screw and wire techniques can be used to counter distractive forces on certain fractures lines, eg tendon pull in olecranon fractures.

Application

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Equipment

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Technique

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Sequelae

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Further Reading

Publications

Refereed papers

  • Recent references from PetMed and VetMedResource.
  • Hanson P D et al (1997) Comparison of 3 methods of ulna fixation in horses. Vet Surg 26 (3), 165-171 PubMed.
  • Martin F et al (1995) Use of tension band wires in horses with fractures of the ulna - 22 cases (1980-1992). JAVMA 207 (8), 1085-1089 PubMed.

Other sources of information

  • Auer J A (2012) Principles of Fracture Treatment. In: Equine Surgery. Eds: Auer J A & Stick J A. 4th edn. Elsevier, USA. pp 1047-1081.
  • Séquin F & Texhammar R (1981) Eds. Wire Instrument Set. In: AO/ASIF Instrumentation. Springer, Germany. pp 157-163.


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