Fatigue strength of common tibial intramedullary nail distal locking screws

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Fatigue strength of common tibial intramedullary nail distal locking screws

BACKGROUND Premature failure of either the nail and/or locking screws with unstable fracture patterns may lead to angulation, shortening, malunion, and IM nail migration. Up to thirty percent of all unreamed nail locking screws can break after initial weight bearing is allowed at 8-10 weeks if union has not occurred. The primary problem this presents is hardware removal during revision surgery....

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Distal Locking Screws for Intramedullary Nailing of Tibial Fractures.

Recently introduced tibial intramedullary nails allow a number of distal screws to be used to reduce the incidence of malalignment and loss of fixation of distal metaphyseal fractures. However, the number of screws and the type of screw configuration to be used remains obscure. This biomechanical study was performed to address this question. Thirty-six Expert tibial nails (Synthes, Oberdorf, Sw...

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The Role of Biplanar Distal Locking in Intramedullary Nailing of Tibial Shaft Fractures

Background: To compare the union times of the uncomplicated tibial shaft fractures, which were distally locked by twocoronal and one sagittal screws and by only two coronal screws.Methods: 45 patients with tibial shaft treated with intramedullary nailing included in this study. 23 of 45 fractureswere treated with uniplanar two distal interlocking (Group 1) and 22 fractures were treated with bip...

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Intramedullary nails with distal interlocking screws locked to the nail may have higher fatigue strength in comminuted supracon

Figure 2. Specimen mounted on the MTS. Intramedullary nails with distal interlocking screws locked to the nail may have higher fatigue strength in comminuted supracondylar femur fractures McDonald, E;, Fischer, J; Bartlett, T; Buckley, J.M; Pekmezci, M, +Kandemir, U +Biomechanical Testing Facility, UCSF/SFGH Orthopaedic Trauma, University of California at San Francisco, San Francisco, CA, USA D...

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Biomechanical comparison of distal locking screws for distal tibia fracture intramedullary nailing

Background: Newer generation intramedullary (IM) tibial nails provide several distal interlocking screw options. The objectives were to determine: 1) if the new oblique interlocking option provides superior stability, 2) which screw orientation/ configuration is the most biomechanically stable, and 3) if three distal interlocking screws provide better stability. Methods: A preliminary experimen...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery and Research

سال: 2009

ISSN: 1749-799X

DOI: 10.1186/1749-799x-4-11