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Cerclage wiring is defined as the use of wires placed around the bone to hold fracture fragments. A single or double strand of wire is placed around the bone, and then the ends are twisted together. The bone fragments are held together by wires. In the past, plastic or metal bands were used, but they were often replaced by other fixation techniques because they interfere with the blood supply to the periosteal bone. Cerclage wires are generally used in combination with other types of orthopedic implants, such as intramedullary plates or nails, but can be used alone under special conditions. Complications include cable fracture; bone resorption under the wires; irritation of adjacent soft tissues, especially at the twisted ends of the wire; and, occasionhally, bone formation on the wire.