Angelini Andrea, Battiato Concetto
Department of Orthopedics, Rizzoli Orthopedic Institute, University of Bologna, Via Pupilli, 1, 40136, Bologna, Italy,
Eur J Orthop Surg Traumatol. 2015 May;25(4):623-35. doi: 10.1007/s00590-014-1520-2. Epub 2014 Sep 4.
Cerclage wiring is a simple technique that has been practiced widely since the advent of surgical treatment of fractures. Many studies have reported the use of various cerclage technologies with a wide range of results and clinical applications. The increasing numbers of periprosthetic fractures have led to a revival of interest for this simple technique. When cerclages function as implants, they may be used alone or together with a protecting device such as external or internal splints (such as plates, nails, stems of prosthesis or a combination of thereof). This article presents a review of the available literature relating cerclage-wiring techniques and updates the recommendations for clinical use.
环扎钢丝术是一种自骨折手术治疗出现以来就被广泛应用的简单技术。许多研究报告了各种环扎技术的使用情况，其结果和临床应用范围广泛。假体周围骨折数量的增加使得人们对这种简单技术的兴趣再度兴起。当环扎用作植入物时，它们可以单独使用，也可以与保护装置（如外部或内部夹板，如钢板、髓内钉、假体柄或它们的组合）一起使用。本文对有关环扎钢丝术的现有文献进行综述，并更新临床使用建议。
