A study of external skeletal fixation systems for unstable pelvic fractures. 1984

L E Dahners, and R R Jacobs, and G Jayaraman, and A J Cepulo

This study was undertaken to determine the feasibility of constructing an anterior pelvic external fixator capable of resisting displacement of vertical shear fractures. Newly designed tapered thread pins for cancellous bone had better bone pin fixation and their greater 6-mm diameter provided more than twice the stiffness of Hoffmann 4-mm pins when tested in clusters. Using these pins and a more rigid anterior frame as one model, various pelvic fixators were tested to determine their resistance to vertical shear forces. These tests determined that this new fixator was 16 times stiffer than a Bonnel single anterior frame and five times stiffer than a double anterior frame (both constructed of Hoffmann components). Extrapolation from the data shows that 13 mm of posterior fracture displacement would occur with loads of one half body weight using the new fixator. Additionally it was noted that Hoffmann frames constructed with two 5-mm pins performed as well as those using three 4-mm pins.

UI MeSH Term Description Entries
D010384 Pelvic Bones Bones that constitute each half of the pelvic girdle in VERTEBRATES, formed by fusion of the ILIUM; ISCHIUM; and PUBIC BONE. Coxal Bone,Hip Bone,Innominate Bones,Bone, Coxal,Bone, Hip,Bone, Innominate,Bone, Pelvic,Bones, Coxal,Bones, Hip,Bones, Innominate,Bones, Pelvic,Coxal Bones,Hip Bones,Innominate Bone,Pelvic Bone
D001858 Bone Nails Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones. Bone Pins,Bone Nail,Bone Pin,Nail, Bone,Nails, Bone,Pin, Bone,Pins, Bone
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D005592 Fracture Fixation The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals. Skeletal Fixation,Fracture Reduction,Fixation, Fracture,Fixation, Skeletal,Fixations, Fracture,Fixations, Skeletal,Fracture Fixations,Fracture Reductions,Reduction, Fracture,Reductions, Fracture,Skeletal Fixations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013718 Tensile Strength The maximum stress a material subjected to a stretching load can withstand without tearing. (McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p2001) Strength, Tensile,Strengths, Tensile,Tensile Strengths
D050723 Fractures, Bone Breaks in bones. Bone Fractures,Broken Bones,Spiral Fractures,Torsion Fractures,Bone Fracture,Bone, Broken,Bones, Broken,Broken Bone,Fracture, Bone,Fracture, Spiral,Fracture, Torsion,Fractures, Spiral,Fractures, Torsion,Spiral Fracture,Torsion Fracture

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