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Biomechanical stability of distally blocked femoral fractures: Is one screw enough?

 

作者: Gregory Gleis,   Laurence Frederick,   John Johnson,  

 

期刊: Techniques in Orthopaedics  (OVID Available online 1988)
卷期: Volume 3, issue 3  

页码: 6-8

 

ISSN:0885-9698

 

年代: 1988

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Ten cadaveric femurs were reamed and an appropriate Grosse-Kempf intramedullary nail was placed in them. To measure the “toggle,” the bending of the distal femoral segment around the nail, a special jig was constructed. Serial measurements of the toggle were made for osteotomies at selected sites between the isthmus and the supracondylar region of the femur. The anteroposterior toggle was measured with the proximal supracondylar screw only, the distal screw only, and both screws. Two screws always resisted anteroposterior toggle better than one screw. If the distal femoral fragment is long, one screw can adequately stabilize the nail—bone construct; with short distal fragments, two screws are needed.

 

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