ISBN: 3540665080
TITLE: Manual of Cable Osteosyntheses
AUTHOR: Labitzke, Reiner
TOC:

1 Introduction 1
2 Brief History of Wires and Cables in Medicine and Technology
2.1 Conventional Binding Wire 4
2.1.1 Bone Suture: The Original Form of Osteosynthesis 4
2.1.2 Chronology of Osteosyntheses 6
2.1.3 Experiences with Cerclage Wire: A Critique 6
2.2 Wire Cables  State-of-the-Art Solution 12
2.2.1 A Brief Introduction, Including Valuable Technical Data 12
2.2.2 Principle of Cable Osteosyntheses 19
2.2.3 The Osteosynthesis Set 19
2.2.3.1 Wire Cables 19
2.2.3.2 Crimps 20
2.2.3.3 PE Sleeves 22
2.2.3.4 Instruments 23
3 Cerclage Wire and Wire Cables: A Comparison
3.1 Performance and Testing 26
3.2 Results 27
3.2.1 Tensile Strength of Cerclage Wire and Wire Cables 27
3.2.2 Tensile Strength of Twists and Cable-Crimp Connections 28
3.2.3 Tensile Strength of Bent Cerclage Wire 31
3.2.4 Evaluation of the Results 32
3.2.4.1 Cerclage Wire 32
3.2.4.2 Wire Cables 32
3.2.5 References in the Literature 33
4 Wire Cables in Everyday Hospital Life
4.1 Introduction 34
4.2 Technical Instructions for Operations 35
4.2.1 Tension Band Principle 35
4.2.2 Cerclage 36
4.2.3 Sleeve-Cable Combinations 37
4.2.4 Stretching and Crimping 38
4.2.5 The Final Steps 39
4.2.6 Errors and Risks 40
4.3 The Mechanics of Bone Healing 43
4.4 Biomechanic of Tension Band Principle 44
4.4.1 Tension Banding as a Technical and Osteosynthetic Principle 44
4.5 Patella Fracture 51
4.5.1 Historical Procedures 52
4.5.1.1 Closed Adjustment 53
4.5.1.2 Open Bone Suture 54
4.5.1.3 Tension Banding 56
4.5.2 Weber's Patella Tension Band and its Biomechanical Analysis 60
4.5.3 Bilateral Cable Tension Band and its Biomechanical Analysis 66
4.6 Olecranon Fracture 77
4.6.1 Historical Procedures 78
4.6.2 Weber's Olecranon Tension Band and its Biomechanical Analysis 80
4.6.3 Bilateral Cable Tension Band for Olecranon and Proximal Ulna Fractures 85
4.7 Ankle Joint and Pilon Fractures 93
4.7.1 Cable Tension Banding on the Medial Malleolus 94
4.8 Osseous Prominences 102
4.8.1 Trochanter Major Femoris 102
4.8.1.1 Trochanter Cable Tension Banding 105
4.8.2 Proximal Humerus and Tuberculum Majus 109
4.8.2.1 Cable Tension Banding on the Head of the Humerus and Tuberculum 110
4.8.3 Distal Humerus Fractures 115
4.8.3.1 Cable Tension Banding Shown on Epicondylus Ulnaris Avulsion 115
4.8.4 Avulsion Fracture at the Base of the Fifth Metatarsal 117
4.9 Compression Cable Osteosynthesis 119
4.9.1 Acetabulum Fractures and Dorsal Socket Avulsion Fracture 119
4.9.2 Corrective Osteotomy in the Knee Joint Region 122
4.9.2.1 Cable Osteosynthesis to Compress Valgus Tibial Head Adjustment Osteotomy 122
4.10 Cable Arthrodeses 126
4.10.1 Cable Arthrodesis of the Upper Ankle Joint 127
4.10.2 Pirogoff Amputation with Tibio-Calcaneal Cable Arthrodesis 131
4.11 Cable Cerclages 135
4.11.1 Shattering of Femur Shaft Following Total Endoprosthesis 135
4.12 Sleeve-Cable Banding of Unstable Pelvic Ring Injuries 138
4.13 Sleeve-Cable Osteosynthesis of Longitudinal Sternotomy 146
4.14 Soft Tissue Trauma  Temporary Protection of Ligament Sutures Using a Cable 148
4.14.1 Rupture of the Ligamentum Patellae, Quadriceps, and Achilles Tendon 148
4.14.1.1 Ligamentum Patellae 148
4.14.1.2 Quadriceps Tendon 150
4.14.1.3 Achilles Tendon 152
4.14.1.4 Ligamentum Patellae 152
4.14.1.5 Quadriceps Tendon 153
4.14.1.6 Achilles Tendon 153
4.14.2 Rupture of the Anterior Cruciate Ligament: Treatment According to Weigand 153
4.15 Special Indications 155
5 Review and Outlook 170
References 171
Subject Index 183
END
