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DOI: 10.3415/VCOT-14-07-0111
Evaluation of the accuracy of a veterinary dynamometric wire tensioner
Publication History
Received:25 July 2014
Accepted:09 January 2014
Publication Date:
26 December 2017 (online)
Summary
Objectives: The purpose of this study was to determine the accuracy of a commonly used veterinary wire tensioner.
Methods: Wire tension was measured using a load cell after each of five tensioners were used to tension each of six wires to the 66, 84, and 118 mm ring settings in an adjustable custom testing fixture. Each tensioner then experienced simulated aging and testing was repeated. Percentage error was calculated for each ring size, before and after tensioner aging. Measured tension values were compared to manufacturer reported tension values for each ring size using a one-sample two-way t-test; p <0.05 was considered significant.
Results: Compared to the manufacturer reported values, measured wire tension values were significantly lower for 66 mm and 84 mm rings and significantly higher for 118 mm rings, before and after simulated aging. Mean wire tension values did not significantly differ between individual wire tensioners.
Clinical significance: The tensioners tested achieved significantly different wire tension values than those reported by the manufacturer. This discrepancy could lead to under-tensioning and allowing excessive movement at a fracture site or over-tensioning, leading to wire breakage. We recommend tensioning wires at least to the recommended line on the device for 66 mm and 84 mm rings and at most to the recommended line for 118 mm rings. Further studies are needed to evaluate other veterinary wire tensioners and to develop a calibration method for these devices in practice.
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References
- 1 Lewis DD, Radasch RM, Beale BS. et al. Initial clinical experience with the IMEX™ circular external skeletal fixation system - part I: Use in fractures and arthrodeses. Vet Comp Orthop Traumatol 1999; 12: 108-117.
- 2 Lewis DD, Radasch RM, Beale BS. et al. Initial clinical experience with the IMEX™ circular external skeletal fixation system - part II: Use in bone lengthening and correction of angular and rotational deformities. Vet Comp Orthop Traumatol 1999; 12: 118-127.
- 3 Rovesti GL, Bosio B, Marcellin-Little DJ. Management of 49 antebrachial and crural fractures in dogs using circular external fixators. J Small Anim Pract 2007; 49: 194-200.
- 4 Rovesti GL, Schwarz G, Bogoni P. Treatment of 30 angular limb deformities of the antebrachium and the crus in the dog using circular external fixators. The Open Veterinary Science Journal 2009; 3: 41-54.
- 5 Watson MA, Mathias KJ, Maffulli N. External ring fixators: an overview. Proc Inst Mech Eng H 2000; 214: 459-470.
- 6 Lewis DD, Bronson DG, Samchukov ML. et al. Biomechanics of circular external skeletal fixation. Vet Surg 1998; 27: 454-464.
- 7 Farese JP, Lewis DD, Cross AR. et al. Use of IMEX SK-circular external fixator hybrid constructs for fracture stabilization in dogs and cats. J Am Anim Hosp Assoc 2002; 38: 279-289.
- 8 Baran O, Havitcioglu H, Tatari H. et al. The stiffness characteristics of hybrid Ilizarov fixators. J Biomech 2008; 41: 2960-2963.
- 9 Gasser B, Boman B, Wyder D. et al. Stiffness characteristics of the circular Ilizarov device as opposed to conventional external fixators. J Biomech Eng 1990; 112: 15-21.
- 10 Lewis DD, Bronson DG, Cross AR. et al. Axial characteristics of circular external skeletal fixator single ring constructs. Vet Surg 2001; 30: 386-394.
- 11 Cross AR, Lewis DD, Murphy ST. et al. Effects of ring diameter and wire tension on the axial biomechanics of four-ring circular external skeletal fixators constructs. Am J Vet Res 2001; 62: 1025-1030.
- 12 Kummer FJ. Biomechanics of the Ilizarov external fixator. Clin Orthop Relat Res 1992; 280: 11-14.
- 13 Bronson DG, Samchukov ML, Birch JG. et al. Stability of external circular fixation: a multi-variable biomechanical analysis. Clin Biomech 1998; 13: 441-448.
- 14 Socie MJ, Rovesti GL, Griffon DJ. et al. Biomechanical comparison of strategies to adjust axial stiffness of a hybrid fixator. Vet Comp Orthop Traumatol 2012; 25: 224-230.
- 15 Hudson CC, Lewis DD, Cross AR. et al. A biomechanical comparison of three hybrid linear-circular external fixator constructs. Vet Surg 2012; 41: 954-965.
- 16 Chao EYS, Aro HT, Lewallen DG. et al. The effect of rigidity on fracture healing in external fixation. Clin Orthop 1989; 241: 24-35.
- 17 Epari DR, Schell H, Bail HJ. et al. Instability prolongs the chondral phase during bone healing in sheep. Bone 2006; 38: 864-870.
- 18 Paley D. Biomechanics of the Ilizarov external fixator. In Bianchi-Maiocchi A, Aronson J. editors Operative Principles of Ilizorov. Milan, Italy: Medi Surgical Vido; 1991: 33-41.
- 19 Roberts CS, Antoci V, Antoci V. et al. The accuracy of fine wire tensioners: A comparison of five tensioners used in hybrid and ring external fixation. J Orthop Trauma 2004; 18: 158-162.
- 20 Watson MA, Mathias RJ, Ashcroft GP. et al. Wire tension in the Ilizarov system: accuracy of the wire-tensioning device. Proc Inst Mech Eng H 2005; 219: 355-359.
- 21 Hudson CC, Lewis DD, Cross AR. et al. Axial stiffness and ring deformation of complete and incomplete single ring circular external skeletal fixator constructs. Am J Vet Res 2012; 73: 2021-2028.