Bone erosion beneath partridge bands

Abstract

Partridge bands have been developed and marketed on the assumption that their ribbed under-surface would ensure less interference with periosteal and cortical blood flow than other cerclage systems. Three cases are reported of serious clinical complications from loss of cortical bone under the band, and interference with the external bridging callus response.

A Review of Periprosthetic Femoral Fractures Associated With Total Hip Arthroplasty

“…The Mennen paraskeletal clamp is associated with early catastrophic failure, 61,62 and similarly, Partridge bands have poor results because they do not provide adequate fixation and they cause substantial bone resorption. 15,63 In contrast, the Ogden plate, which uses heavy-duty Parham bands proximally and nonlocking 4.5-mm cortical screws distally, has good clinical results, 55 with 1 study reporting rates of 95% union for femoral periprosthetic fractures in 19 patients. 55 Minimally invasive plating and locking plates.…”

Underneath the cerclage: an ex vivo study on the cerclage-bone interface mechanics

“…Furthermore, no grade cutting of the cerclage into the cortical bone has to be expected in a congruently reduced fracture. As already discussed by Jones [21], the groove formation is not induced by the weakness of the cortex itself, but the micromovement between the cerclage and the bone at high strain induces the bone loss. Bone surface resorption can be evoked by the so-called loose-lock stability [2], which is typically observed in loosened cerclages.…”

"Under-the-plate" reduction band technique

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We present our experience with metal clampingbands with tightening-screw mechanisms as temporary intraoperative aids for fracture reduction and the application of fixation implants.There has been great interest in the use of nylon tie-bands, whether as temporary reduction aids (Schmidt and Davis 1981) or as permanent fixtures (Jones 1986, Tountas et al 1990). However, one of the major disadvantages of a nylon band is that once it is locked in place, relocation requires that it be cut and a new one applied, since it cannot be released and retied.

Our technique requires the use of commercially available hose-to-pipe metal clamping-bands.

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“…There has been great interest in the use of nylon tie-bands, whether as temporary reduction aids (Schmidt and Davis 1981) or as permanent fixtures (Jones 1986, Tountas et al 1990). However, one of the major disadvantages of a nylon band is that once it is locked in place, relocation requires that it be cut and a new one applied, since it cannot be released and retied.…”