Cerclage wire is an extremely useful method of fragment fixation. Use as thick a wire as seems possible and twist evenly under tension. The best instrument is our Wire Twister & Shear Cutter - 001260. Minimise wire movement on periosteum. Tension wire banding should be performed where muscular forces must be transferred beyond a fracture or osteotomy, e.g. Tibial crest avulsion or trochanteric osteotomy.