Reconstruction of the Femur in Total Hip Replacement Using Multifilament Cerclage Cables Fastened with Crimp Sleeves

  • D. M. Dall


It was the challenge of fixation of the greater trochanter, which was shared with equal enthusiasm by Charnley, which prompted me to search for a more reliable technique than the standard monofilament wiring techniques. Working in Cape Town with Miles, a mechanical engineer, we realised the advantages of multifilament cable and by 1978 had developed a system for trochanteric fixation using this material (Dall and Miles 1983). As a result of the success of this fully developed system, it was a logical step to use multifilament cables for cerclage fixation.


Thigh Pain Cement Mantle Straight Stem Curve Stem Cerclage Cable 
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References and Further Reading

  1. Charnley JS (1957) A closed treatment of common fractures. E and S Livingstone, Edinburgh, pp 18–20Google Scholar
  2. Dall DM (1991) Cable techniques for trochanteric and femoral allograft fixation. Techniques Orthop 6(3):7–16CrossRefGoogle Scholar
  3. Dall DM, Miles AW (1983) Re-attachment of the greater trochanter. J Bone Joint Surg (Br) 65:55–59Google Scholar
  4. Incavo SJ, DiFazio F, Wilder D (1990) Strength of cerclage fixation systems: A biomechanical study. Clin Biomechanics 5:236–238CrossRefGoogle Scholar
  5. Jones DG (1986) Bone erosion beneath Partridge bands. J Bone Joint Surg (Br) 68:476–477Google Scholar
  6. Kirby BM, Wilson JW (1989) Knot strength of nylon-band cerclage. Acta Orthop Scand 6:696–698Google Scholar
  7. Kirby BM, Wilson JW (1991) Effect of circumferential bands on cortical vascularity and viability. J Orthop Res 9:174–179PubMedCrossRefGoogle Scholar
  8. Phillips TW, Messieh SS, McDonald PD (1990) Femoral stem fixation in hip replacement. J Bone Joint Surg (Br) 72:431–434Google Scholar
  9. Rhinelander FW (1968) The normal microcirculation of diaphyseal cortex and its response to fracture: An instructional course lecture. The American Academy of Orthopaedic Surgeons. J Bone Joint Surg (Am) 50:784–800Google Scholar
  10. Taylor JK, Hayes DEE (1991) Cerclage systems in total hip replacement. Static tension and mechanics of failure. Abstract, Orthopaedic Research Society 37th Annual Meeting, March 4–7Google Scholar
  11. Wang G-J, Miller TO, Stamp WG (1985) Femoral fracture following hip arthroplasty. J Bone Joint Surg (Am) 67:956–957Google Scholar
  12. Wilson JW (1988) Knot strength of cerclage bands and wires. Acta Orthop Scand 59:545–547PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 1992

Authors and Affiliations

  • D. M. Dall

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