Biomechanical comparison of distal locking screws for distal tibia fracture intramedullary nailing英文文献资料.docVIP

J. Biomedical Science and Engineering, 2011, 4, 235-241 JBiSE doi:10.4236/jbise.2011.44032 Published Online April 2011 (http://www.SciRP.org/journal/jbise/). Biomechanical comparison of distal locking screws for distal tibia fracture intramedullary nailing Brennen L. Lucas , Alexander C. M. Chong , Bruce R. Buhr , 1 1,2 1 1,2 Teresa L. Jones 1 , Paul H. Wooley 1 2 Department of Surgery, Section of Orthopaedics, The University of Kansas School of Medicine, Wichita, Kansas, USA; Orthopaedic Research Institute, Wichita, Kansas, USA. Email: alexander.chong@ Received 23 February 2011; revised 1 March 2011; accepted 3 March 2011. ABSTRACT cated an option for operative treatment of distal metaphyseal tibia fracture fixation where preserva- tion of soft tissue and rigid stabilization are needed. Background: Newer generation intramedullary (IM) tibial nails provide several distal interlocking screw options. The objectives were to determine: 1) if the new oblique interlocking option provides superior stability, 2) which screw orientation/configuration is the most biomechanically stable, and 3) if three distal interlocking screws provide better stability. Methods: A preliminary experiment was performed in torsion, compression, and bending tests with four different screw configurations: (I) one medial-to- lateral and one oblique, (II) two medial-to-lateral, (III) one medial-to-lateral and one anterior-to-po- sterior, and (IV) one medial-to-lateral, one ante- rior-to-posterior and one oblique in simulated distal metaphyseal fracture tibiae. Twenty-four Synthes EXPERT tibial IM nails were used for six speci- mens of each screw configuration. Parts I and II, tibial IM nails were locked with 5.0 mm interlock- ing screws into simulated distal tibiae