Surgical Technique - Tibial Plateau

7. Tension wires


For the first wire, wrench-tighten the wire-locking nut on one side and fingertighten the wire-locking nut on the other (tensioning) side.


To apply the tensioner to the wire, manually turn the fluted knob counterclockwise until the wire passes freely through the cannulation.


Advance the tensioner over the fingertightened end of the wire, until its concave end seats against the wire/pin vise.

Note: For Reduction Wires, wrench-tighten the wire-locking nut on the "olive-end" of the wire.


Turn the knob clockwise by hand until the desired tension is reached. If necessary, use the ratchet wrench to achieve the desired tension.


The amount of tension being applied to the wires is indicated by the position of the knob relative to the numbered lines etched on the tensioner body. Wires are generally tensioned to 100-130 kg.


When the desired tension is reached, wrench tighten the wire-locking nut. Turn the knob on the Wire Tensioner counterclockwise to release the wire. Tension additional wires using the same procedure.

Special Technique Note:

If using a Reduction Wire to reduce small fragments, first stabilize the ring with at least two tensioned wires. Insert the Reduction Wire through the fragment until the "olive" contacts the bone. Attach the wire to the ring with two clamps and wrench-tighten the ring-locking nuts and finger-tighten both wire-locking nuts. Use the tensioner to pull the "olive" against the fragment until it is reduced and wrench-tighten both wire-locking nuts. Take care to avoid pulling the "olive" through the cortex.


8. Trim wires


Use the Bending/Cutting Pliers to trim excess wire, leaving 3 to 4 cm of wire to allow later retensioning, if needed.


Bend wire ends using the Bending/Cutting Pliers.


Place protective caps on wire ends.


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The Membrane Domain