The Biomechanics of Varied Proximal Locking Screw Configurations in a Synthetic Model of Proximal Third Tibial Fracture Fixation

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The biomechanics of varied proximal locking screw configurations in a synthetic model of proximal third tibial fracture fixation.

OBJECTIVE To determine if 1) angularly stable devices created by compressing ("locking") proximal locking screws to intramedullary nails using end caps or compression screws or 2) increasing the number of proximal screws from two to three increases the stiffness of intramedullary constructs that stabilize proximal third tibia fractures in a nonosteopenic bone model. METHODS Four proximal lock...

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Outcome Analysis of Locking Plate Fixation in Proximal Humerus Fracture.

INTRODUCTION Proximal humerus fractures account for approximately 5% of all fractures. Stable minimally displaced fractures can be treated nonoperatively but the management of displaced fractures remain controversial with various modalities of treatment available. Locking plates provide stable fixation and enable early postoperative mobilization specially in osteoporotic proximal humerus fractu...

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Locking Plate in Proximal Tibial Fracture: A Correlation between the Coronal Alignment of Tibia and Joint Screw Angle

PURPOSE The purpose of this study is to evaluate the relationship between the angle formed between the proximal most screw through the locking compression plate-proximal lateral tibia (LCP PLT) and the joint line, and to evaluate if this angle can be used intraoperatively as an assessment tool to determine normal alignment of the tibia in the coronal plane. MATERIALS AND METHODS There are two...

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Avulsion fracture of the proximal tibial epiphysis.

Fractures of the tibia through the proximal epiphysis are rare. This injury usually results from severe direct or indirect force about the knee, and has not been described as resulting from a patellar tendon avulsion injury. Four patients presented with five avulsion fractures of the proximal tibial epiphysis. All were older adolescent males who had been engaged in jumping sports when the injur...

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Proximal tibial osteotomy. A new fixation device.

A new internal fixation device was applied to 41 proximal tibial osteotomies to ensure against loss of postoperative correction. An oblique osteotomy was stabilized by two screws and a five-hole one-half tubular plate. Thirty-six patients with 41 proximal tibial osteotomies were reviewed for an average roentgenographic follow-up time of 22.6 months (range, six to 48 months) with no loss of corr...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Trauma

سال: 2011

ISSN: 0890-5339

DOI: 10.1097/bot.0b013e3181e47d0f