PURPOSE The purpose of this study is to compare the stress and stability of plate-screw fixation and screw fixation in the treatment of Schatzker type IV medial tibial plateau fracture. METHODS A three-dimensional (3D) finite element model of the medial tibial plateau fracture (Schatzker type IV fracture) was created. An axial force of 2500 N with a distribution of 60% to the medial compartme...

Lytic olisthesis is an accepted cause of low back pain and may also be associated with leg pain. When conservative treatment fails, operative management with fusion and if necessary decompression is considered. Most reports regarding surgical management in the literature relate to children or adolescents. This paper reviews 75 adult cases treated by in situ pedicular fixation and posterolateral...

A preliminary study of Acoustic Emission during orthopaedic screw fixation was performed using polyurethane foam as the bone-simulating material. Three sets of screws, a Dynamic Hip Screw, a small fragment screw and a large fragment screw were investigated, monitoring acoustic emission activity during the screw tightening. Some specimens were overtightened on purpose to investigate the possibil...

OBJECTIVE To investigate the feasibility of C1 lateral mass screw and C2 pedicle screw with polyaxial screw and rod system supplemented with miniplate for interlaminar fusion to treat various atlantoaxial instabilities. METHODS After posterior atlantoaxial fixation with lateral mass screw in the atlas and pedicle screw in the axis, we used 2 miniplates to fixate interlaminar iliac bone graft ...

Several authors have reported complications from screw removal after treatment of slipped upper femoral epiphysis by single screw fixation, and have attributed these to poor screw design. We have developed a simple and reliable method of screw removal which uses a cannulated 8.0 mm end-threaded cancellous screw (Smith & Nephew Richards Medical, Memphis, Tennessee) and a specially designed cannu...

BACKGROUND The sustentacular screw is essential to maintain the stability of the subtalar joint during ORIF (open reduction with internal fixation) of calcaneal fractures. Currently, the screw is still inserted based on surgeons' anatomical experiences and nearly 40% of screws are misplaced from the sustentaculum. Previous studies demonstrated some methods of sustentacular screw placement throu...

OBJECTIVE Pedicle screw fixation for spine arthrodesis is a useful procedure for the treatment of spinal disorders. However, instrument failure often occurs, and pedicle screw loosening is the initial step of a range of complications. The authors recently used a modified transpedicular polymethylmethacrylate (PMMA) screw augmentation technique to overcome pedicle screw loosening. Here, they rep...