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The use of a hypodermic needle to pass intraosseous cerclage wire through bone.

Passing a cerclage wire through drill holes can be difficult. This manoeuvre can be facilitated by cutting a 19G hypodermic needle from its base and using the bevelled end to drill a transverse hole on one side of the fracture line (Fig 1). Once the channel has been created, the tip of a 0.6mm cerclage wire is passed into the bevelled end of the needle and the needle is then withdrawn, pulling the cerclage wire through the drill holes (Fig 2). 
 
 
 
Figure 1 
 
The bevelled end of the needle is used to drill a transverse hole on one side of the fracture line 
 
 
 
 
 
Figure 2 
 
The wire is passed through the needle