ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Biomechanical evaluation of cerclage wiring in plated tibia fractures using human and synthetic specimens.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 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
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSupplemental cerclage wiring at the distal tibia has shown to improve the mechanical stabilization of the fracture. However, its clinical use remains controversial partly because of concerns about implant loosening as well as frictional or constrictive interference between the cerclage and cortical surface. The aim of this study was to investigate in a distal tibia fracture model possible loosening of the cerclage and interference with the bone surface.
methodsFourteen distal tibia oblique fractures (AO/OTA 42-A2) in seven human and synthetic bone samples, respectively were treated by plate osteosynthesis with supplemental cerclage wiring. The samples were subjected to 50,000 load cycles under combined axial and torsional loads. Angular and axial displacement were continuously monitored to identify possible cerclage loosening cerclage. Potential incision of the cerclage was inspected visually and on CT scans.
resultsAngular displacement was significantly influenced by the bone material (p ≤ 0.001) and type of osteosynthesis (p ≤ 0.001), while axial displacement was only influenced by the type of osteosynthesis (p ≤ 0.001). Lowest displacements were found in samples with plate and cable cerclage. Cerclage stability was maintained throughout the entire test period of 50,000 load cycles for human and synthetic samples. CT images revealed notches from the cerclage clamping mechanism but no incisions of the cable itself.
conclusionIn an oblique distal tibia fracture model, loosening of the cable cerclage was not detected. Full weight-bearing cyclic loads resulted in slight imprints of the cerclage crimp in both, human and synthetic samples. Following the surgical guidelines for careful cerclage installation, a supplemental cable cerclage has the potential to significantly increase the construct stability.
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.