BIOMECHANICAL COMPARISON OF FIXATION DEVICES IN EXPERIMENTAL SCAPHOID OSTEOTOMIES

被引:25
作者
CARTER, FM [1 ]
ZIMMERMAN, MC [1 ]
DIPAOLA, DM [1 ]
MACKESSY, RP [1 ]
PARSONS, JR [1 ]
机构
[1] UNIV MED & DENT NEW JERSEY,NEW JERSEY MED SCH,GEORGE L SCHULTZ LABS ORTHOPAED RES,NEWARK,NJ 07103
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1991年 / 16A卷 / 05期
关键词
D O I
10.1016/S0363-5023(10)80159-5
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
This study determined the force, bending rigidity, and bending moment at failure of three types of internal fixation systems for the scaphoid bone. A pair of parallel, 0.045-inch Kirschner wires were compared on a paired, bilateral basis with either a Herbert screw or a 3.5 millimeter cannulated screw in repairing a transverse waist osteotomy in cadaver scaphoids. The mean values at failure of the Herbert screw and the cannulated screw versus the paired, parallel Kirschner wires for force (65 N and 77 N versus 23.7 N), rigidity (0.47 Nm2 and 0.54 Nm2 versus 0.16 Nm2) and bending (0.98 Nm and 1.15 Nm versus 0.36 Nm) were approximately three times greater. These differences were statistically significant when compared on a paired basis. This experiment demonstrates that the Herbert screw and cannulated screw are significantly stronger in resisting bending forces than paired, parallel Kirschner wires.
引用
收藏
页码:907 / 912
页数:6
相关论文
共 14 条
[1]  
Murray G, Bone-graft for non-union of the carpal scaphoid, British Journal of Surgery, 22, (1934)
[2]  
Russe O, Fracture of the carpal navicular, J Bone Joint Surg, 42 A, pp. 759-768, (1960)
[3]  
Matti H, Uber die bchandlung der navicularefraktur und der refractura patellae durch plombierung mit spongiosa, Zentralbl Chir, 64, (1937)
[4]  
Namba RS, Kabo JM, Meals RA, Biomechanical effects of point configuration in Kirschner-wire fixation, Clin Orthop, 214, pp. 19-22, (1987)
[5]  
Stark HH, Rickard TA, Zemel NP, Ashworth GR, Treatment of ununited fractures of the scaphoid by iliac bone grafts and Kirschner-wire fixation, J Bone Joint Surg, 70 A, pp. 982-991, (1988)
[6]  
Herbert TJ, Fisher WE, Management of the fractured scaphoid using a new bone screw, J Bone Joint Surg, 66 B, pp. 114-123, (1984)
[7]  
Shaw JA, A biomechanical comparison of scaphoid screws, J Hand Surg, 12 A, pp. 347-353, (1987)
[8]  
Smith DK, An KN, Cooney WP, Linscheid RL, Chao EY, Effects of a scaphoid waist osteotomy on carpal kinematics, J Orthop Res, 7, pp. 590-598, (1989)
[9]  
Swanson SAV, Biomechanical characteristics of bone, Advances in biomedical engineering, (1971)
[10]  
Alexander H, Langrana N, Massengill JB, Weiss AB, Development of new methods for phalangeal fracture fixation, J Biomechanics, 14, 6, pp. 377-387, (1981)