Chapter 7 - Veterinary Instrumentation

7 TRAUMA IMPLANTS & INSTRUMENTSOrthopaedic WireBoneBinder by AesculapCerclage Wire is anextremely useful methodof fragment fixation. Useas thick a Wire asseems possible. Twistevenly under tension.The best instrument isour Wire Twister/ Cutter 001260 see page 92. Minimise wire movement onperiosteum. Tension wire banding should be performed where muscularforces must be transferred beyond a fracture or osteotomy, e.g. Tibial crestavulsion or trochanteric osteotomy. 1.0mm Wire is the most useful.All are supplied in 10 metre rolls.ORTHOPAEDIC WIRE (in 10m rolls)OW0210 0.2 (diameter in mm) £9.00OW0310 0.3 £9.50OW0410 0.4 £11.00OW0510 0.45 £13.00OW0610 0.56 £15.00OW0710 0.71 £17.00OW0810 0.8 £20.00OW0910 0.9 £22.50OW1010 1.0 £37.50OW1012 1.25 £42.50OW1015 1.5 £55.00For convenience and identification rolls of Orthopaedic Wire can bemarked with Padlock Security Tags (see page 315) This also has theadded advantage of stopping rolls of wire unraveling in the operatingtheatre.Wires with EyeletCable ties are a very versatile self locking fixation system widely used innon surgical industries. They have been used surgically with somesuccess but the materials used in industrial ties have not been cleared forimplantation. Aesculap, after extensive testing and studies has produced arange of implant grade ties for use in veterinary orthopaedics. The Tiesmay be used for temporary or long term reduction and fixation of bonefragments. The BoneBinder also includes a radio-dense strip.Supplied sterile in 5 Packs of 2 Ties. Available in 3 sizesBONE BINDERVB302 BoneBinder Small 2.5 x 90mm (5 packs of 2) Sterile £31.50VB303 BoneBinder Medium 3.5 x 120mm (5 packs of 2) Sterile £31.50VB304 BoneBinder Large 4.5 x 180mm (5 packs of 2) Sterile £31.50Ormrod Buttons30˚The free end of the wire is threaded through the eye. The cerclage istightened using the special tightener. Requires 001262 Wire Tightener orfor Wire Twisting Instruments see pages 92 and 93.ORTHOPAEDIC WIRE (with eyelet)CWWE22 Orthopaedic Wire with Eyelet. 22g x 12" (6 pack) £24.00CWWE20 Orthopaedic Wire with Eyelet. 20g x 12" (6 pack) £24.00CWWE18 Orthopaedic Wire with Eyelet. 18g x 12" (6 pack) £24.00001262 Wire Loop Tightener for above £105.00200010.00 Twisterz Wire Twisters £145.00Use to prevent suturesfrom ‘cheese wiring’through bone, e.g. athip toggle. Made from1020 Medical GradeUHMWPE. (Ultra HighMolecular WeightPolyethylene).ORMROD BUTTONS090166/E Ormrod Button, 6mm diameter (sterile) 2 Holes £9.50090166/F Ormrod Button, 6mm diameter (sterile) 2 Slots £9.50090166 Ormrod Button, 8mm diameter (sterile) 2 Holes £9.50090166/A Ormrod Button, 9mm diameter (sterile) 2 Holes £9.50090166/B Ormrod Button, 9mm diameter (sterile) 2 Slots £9.50090166/C Ormrod Button, 11mm diameter (sterile) 2 Holes £9.50090166/D Ormrod Button, 11mm diameter (sterile) 2 Slots £9.50See Page 91for furtherinformationabout VIOrthopaedicWire Kit218