Why would you use anything other than double loop cerclage?

Simon C. Roe, BVSc, MVSc, MS, PhD, Diplomate of the American College of Veterinary Surgeons, Founding Fellow, Joint Replacement Surgery has recently retired from 31 years as a small animal orthopaedic surgery faculty at North Carolina State University. He completed his veterinary degree at the University of Queensland in 1979. He did his residency at the University of Illinois and became an ACVS Diplomate in 1992. He completed his PhD at the University of New South Wales in 1991. After jointing NC State in 1991, he was promoted to Professor in 2006. His research interests are in biomechanics of tissues and implants. He has taught cerclage wire tying at MANY AO Principles Courses, including developing a Skills station that demonstrates the superiority of the double loop knot over the twist knot. He was a member of the AO Education Committee from 2015 to 2021. He co-Chaired an AO Surgical Approaches course in 2020.