A biomechanical comparison of two methods of fixation of fractures of the forearm. 1995

D J Jones, and M B Henley, and E H Schemitsch, and A F Tencer
Harborview Biomechanics Laboratory, Department of Orthopedics, University of Washington, Seattle, USA.

In this study two different types of forearm internal fracture fixations were compared: limited-contact dynamic compression (DC) plates and fluted intramedullary (IM) rods. Eight matched pairs of intact forearms, consisting of the distal part of the humerus, elbow joint, radius, ulna, interosseus membrane, wrist joint, and metacarpals, were randomly separated into two groups. Each was placed into a custom-designed apparatus and subjected to medial bending, supination, pronation, axial compression, and distraction loading. Loads were applied by a materials testing system, and angular displacements were measured by inclinometers. The procedure consisted of first testing specimens intact, then retesting after osteotomizing and fixing the radius with either a plate or rod in half of the group and retesting after osteotomizing and fixing the ulna in the other half. Testing was continued by osteotomizing and remaining intact bone to create a two-bone fracture, fixing them, and retesting after creating a 5-mm gap at the osteotomy sites. These tests showed that the intact ulna contributes more to forearm stability in bending and torsion than does the radius. Therefore, if the radius is fractured but the ulna remains intact, IM rodding will produce constructs with greater stiffnesses, particularly in torsion, than if the ulna is fractured and the radius is intact. In the case of a two-bone fracture, implantation of rods will result in a construct with significantly less stiffness in torsion, as well as distraction and compression (in the case of a fracture gap), than if the fractures were plated.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D011885 Radius Fractures Fractures of the RADIUS. Galeazzi Fracture,Galeazzi Fracture Dislocation,Radial Fractures,Dislocation, Galeazzi Fracture,Fracture Dislocation, Galeazzi,Fracture, Galeazzi,Fracture, Radial,Fracture, Radius,Radial Fracture,Radius Fracture
D001860 Bone Plates Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999) Bone Plate,Plate, Bone,Plates, Bone
D005594 Fracture Fixation, Intramedullary The use of nails that are inserted into bone cavities in order to keep fractured bones together. Intramedullary Nailing,Nailing, Intramedullary,Osteosynthesis, Fracture, Intramedullary,Fixation, Intramedullary Fracture,Fixations, Intramedullary Fracture,Fracture Fixations, Intramedullary,Intramedullary Fracture Fixation,Intramedullary Fracture Fixations,Intramedullary Nailings,Nailings, Intramedullary
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic
D014102 Torsion Abnormality An abnormal twisting or rotation of a bodily part or member on its axis. Abnormality, Torsion,Abnormalities, Torsion,Torsion Abnormalities
D014458 Ulna Fractures Fractures of the larger bone of the forearm. Fracture, Ulna,Fractures, Ulna,Ulna Fracture

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