ArticleArchives of orthopaedic and trauma surgery2025
Wire cerclages as part of osteosynthesis- examination for optimal placement.
Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Wire cerclages are commonly used during osteosynthesis of bone shaft fractures. To date, there is no study that examines the intraoperative utilization by different experienced surgeons in terms of reproducibility. This study aimed to test the hypothesis that a double-looped-cerclage is superior to a single-looped-cerclage in terms of reproducibility and uniform contact pressure. 27 medical doctors working in orthopedics/trauma surgery took part in this study. A wire cerclage was applied to a bovine bone half-shell model mounted on a dynamometer. A single-looped-cerclage and a double-looped-cerclage were applied alternately 5 times each. The applied force before modelling the cerclage knot on the bone (fbM) and the applied force after modelling on the bone (faM) were recorded in a blinded manner. The median faM in a double-looped-cerclage was 375 N (IQR 230-531 N) and therefore significantly higher (p < 0.05) than in a single-looped-cerclage (150 N (IQR 83-232 N)). As a result of applying the cerclage knot to the bone, the force decreased by an average of 80 N, with no differences in single-looped-cerclage or double-looped-cerclage. (Force-loss single-looped-cerclage 84 N (IQR 35.75-132 N); Force-loss double-looped-cerclage 82 N (IQR 46-116 N). The quartile dispersion coefficient as an expression of dispersion for the 5 applications each was 0.7121 (IQR 0.6544-0.8979) for single-looped-cerclage and was significantly higher than for double-looped-cerclage 0.3876 (IQR 0.2376-0.5184). In summary, this study showed that a double-looped-cerclage was superior to a single-looped-cerclage when used intraoperatively in terms of contact pressure and reproducibility.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.