Journal ArticleDOI
Fracture strain and stability with additional locking screws in intramedullary nailing: a biomechanical study.
TLDR
Nails with additional locking options, by altering strain and motion at the fracture site, may have the clinical potential to affect fracture healing.Abstract:
Background:We studied the effect of additional locking screws on fracture strain and stability in tibial intramedullary nailing.Methods:We drilled an additional diaphyseal locking hole into 8-mm solid tibial nails 185 mm from the proximal end of the nail, and locked it proximally and distally. An osread more
Citations
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Journal ArticleDOI
Influence of intramedullary nail diameter and locking mode on the stability of tibial shaft fracture fixation
Rainer Penzkofer,Michael W. Maier,Alexander Nolte,Geert von Oldenburg,Klaus Püschel,Volker Bühren,Peter Augat +6 more
TL;DR: On biomechanical grounds, the largest possible nail diameter should be used, with minimal reaming, so as to minimize fracture site movement, to enhance the primary stiffness and reduce fracture site movements.
Journal ArticleDOI
Intramedullary nailing of extra-articular proximal tibia fractures.
TL;DR: Several nailing methods and reduction techniques have been developed to minimize this complication, including the use of a proper starting point and insertion angle, blocking screws, unicortical plates, a universal distractor, and alternative positioning and approaches.
Journal ArticleDOI
Prevalence and influencing factors of nonunion in patients with tibial fracture: systematic review and meta-analysis
TL;DR: Closed reduction and minimally invasive percutaneous plate osteosynthesis (MIPPO) have the low risks of nonunion for the treatment of tibial fractures.
Journal ArticleDOI
Angular stability potentially permits fewer locking screws compared with conventional locking in intramedullary nailed distal tibia fractures: a biomechanical study.
Boyko Gueorguiev,Ben Ockert,Karsten Schwieger,Dirk Wähnert,Matthew Lawson-Smith,Markus Windolf,Karl Stoffel +6 more
TL;DR: The angle-stable locking reflects a potential to maintain fixation stability while reducing the number of locking screws compared with conventional locking in intramedullary nailed unstable distal tibia fractures, and shows high biomechanical properties.
Journal ArticleDOI
The influence of distal locking on the need for fibular plating in intramedullary nailing of distal metaphyseal tibiofibular fractures.
Rene Attal,V. Maestri,Hitendra K. Doshi,Ursula Onder,Vinzenz Smekal,Michael Blauth,Werner Schmoelz +6 more
TL;DR: Findings suggest that additional fibular plating does not improve stability if a multidirectional distal locking intramedullary nail is used, and is therefore unnecessary if not needed to aid reduction.
References
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Journal ArticleDOI
Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases.
TL;DR: Routine treatment included strong preoperative traction followed by accurate positioning of the patient on the operating table; selection of the correct insertion point for a properly sized, prebent, flexible, bullet-tipped nail; and accurate reduction of the fracture.
Journal ArticleDOI
Magnitudes of local stress and strain along bony surfaces predict the course and type of fracture healing
Lutz Claes,C.A Heigele +1 more
TL;DR: A new quantitative tissue differentiation theory which relates the local tissue formation in a fracture gap to the local stress and strain to enable a better understanding of the complex tissue differentiation seen in histological images and the mechanical conditions for healing delayed healing or nonunions.
Journal ArticleDOI
Mechanobiology of skeletal regeneration
TL;DR: Finite element models are used to show that the patterns of tissue differentiation observed in fracture healing and distraction osteogenesis can be predicted from fundamental mechanobiologic concepts.
Journal ArticleDOI
Treatment of tibial fractures by reaming and intramedullary nailing.
L B Bone,K D Johnson +1 more
TL;DR: The method of treatment, employing either closed or open technique and recently making use of interlocking bolts to stabilize one or both principal fracture fragments on the nail, is an excellent one for unstable acute fractures and for secondary procedures in fractures that are not associated with infection.
Journal ArticleDOI
Intramedullary nailing of femoral shaft fractures. Part Ii: Fracture-healing with static interlocking fixation.
TL;DR: It is concluded that static interlocking of intramedullary nails in femoral shaft fractures does not appreciably inhibit the process of healing of the fracture, and that routine conversion to dynamic intramingullary fixation, although occasionally necessary, need not be performed.
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Radiographic analysis of tibial fracture malalignment following intramedullary nailing.
Eric L. Freedman,Eric E. Johnson +1 more