conclusions we recommend the additional 2d-fluoroscopic tangential view for detection of screw misplacements caused by overlength, with penetration on the dorsal cortical surface of the distal radius, predominantly observed for the most lateral screw position. the use of intraoperative 3d fluoroscopy did not become accepted in our clinical routine, due to the technical demanding and time consum...

OBJECTIVES Fractures of the proximal femur are a common clinical problem, and a number of orthopaedic devices are available for the treatment of such fractures. The objective of this study was to assess the rotational stability, a common failure predictor, of three different rotational control design philosophies: a screw, a helical blade and a deployable crucifix. METHODS Devices were compar...

OBJECTIVES This study aims to assess five different cortical screw types using artificial femurs, under equated testing conditions. MATERIALS AND METHODS We investigated the maximum force needed to cause deformation at screw-bone interface using fourth generation composite femurs by conducting separate pullout tests for each screw type. We normalized obtained results with traditional methods ...

The purpose of this study is to determine the most stable fixation method for mandibular symphysis fractures by comparing the mechanical characteristics of models fixed at different positions with different numbers of plates. Fractures were generated in 3-dimensional finite element models, and were fixed with a single miniplate, parallel double miniplates, or perpendicular double miniplates. A ...

BACKGROUND Distal interlocking screw insertion in intramedullary nailing of long-bone fracture is a challenging task for orthopedic surgeons. It is difficult particularly when the surgeon is in his learning stage or when image intensifier is not available. We describe a radiation-free technique of distal interlocking screw insertion which is easy and practicable. MATERIALS AND METHODS In this...

introduction iatrogenic patellar fracture is reported as a complication of patella procedures, such as medial patellofemoral ligament reconstruction, reconstruction of the anterior cruciate ligament of the knee using bone-patellar tendon-bone technique, and resurfacing the patella in total knee arthroplasty. case presentation a 65-year-old lady with right patella fracture was treated with open ...

BACKGROUND Pedicle screws with PMMA cement augmentation have been shown to significantly improve the fixation strength in a severely osteoporotic spine. However, the efficacy of screw fixation for different cement augmentation techniques, namely solid screws with retrograde cement pre-filling versus cannulated screws with cement injection through perforation, remains unknown. This study aimed t...

STUDY DESIGN An in vitro biomechanical study to compare 2 different dorsal screw fixation techniques in the cervical spine with respect to primary stability and stability after cyclic loading. OBJECTIVES To investigate if the biomechanical stability is better in pedicle screw or in lateral mass fixation. SUMMARY OF BACKGROUND DATA In patients with poor bone quality who require multisegmenta...

Tendon transfers pptay an important role in reconstructive foot and ankle surgery. Multiple methods for fixation of tendon to bone are used including suture of tendon to periosteum, suture into bone troughs, suture anchors, and passage through bone tunnels. With the increasing populatity of hamstring tendon anterior cruciate ligament reconstructions has come new fixation technology. Soft-tissue...

OBJECTIVES To measure the rate of union in patients with pseudoarthosis of the scaphoid, treated with trapezoidal bone grafting as outlined by Fernandez and 1 of 3 methods of internal fixation and to compare unions versus nonunions and potential predictors of union to determine if associations exist. DESIGN A retrospective radiologic study of scaphoid pseudoarthroses. SETTING Division of Or...