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Biomechanical Considerations in Foot and Ankle Circular External Fixation: Maintenance of Wire Tension.

Mikhail L Samchukov, Craig E Clifford, Kevin M McCann, Alexander M Cherkashin, Byron Hutchinson, William A Pierce
Clinics in Podiatric Medicine and Surgery 2018 October
Initial tensioning of the forefoot wires to 130 kg followed by simultaneous tensioning of the calcaneal wires to 90 kg and using the rigid double-row foot plate closed anteriorly via threaded rods produce maximum preservation of the initial wire tension during foot circular external fixation.

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