A BIOMECHANICAL EVALUATION OF 3 FORMS OF INTERNAL-FIXATION USED IN ANKLE ARTHRODESIS

被引:31
作者
DOHM, MP [1 ]
BENJAMIN, JB [1 ]
HARRISON, J [1 ]
SZIVEK, JA [1 ]
机构
[1] UNIV ARIZONA,HLTH SCI CTR,ORTHOPAED SURG SECT,TUCSON,AZ 85724
关键词
D O I
10.1177/107110079401500603
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A biomechanical study was undertaken to evaluate the relative stability of three types of internal fixation used for ankle arthrodesis. Crossed screw fixation, RAF fibular strut fixation, and T-plate fixation were tested in 30 cadaver ankles using an MTS machine. T-plate fixation consistantly provided the stiffest construct when compared with the other types of fixation. Failure occurred by distraction of bony surfaces, posterior to the plane of fixation, in the crossed screw and RAF groups. In contrast, failure in the T-plate group occurred through compression of bone anterior to the midcoronal plane of the tibia. Although the stability of fixation is only one factor in determining the success or failure of ankle arthrodesis, the results of this study would support T-plate fixation over the other forms tested.
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页码:297 / 300
页数:4
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