Strength of fixation of Ludloff metatarsal osteotomy utilizing three different types of Kirschner wires: A biomechanical study

被引:13
|
作者
Stamatis, ED [1 ]
Navid, DO [1 ]
Parks, BG [1 ]
Myerson, MS [1 ]
机构
[1] Union Mem Hosp, Dept Orthopaed Surg, Baltimore, MD USA
关键词
bone wires; fixation; metatarsal bones; osteotomy;
D O I
10.1177/107110070302401014
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Static biomechanical studies have demonstrated that the Ludloff shaft metatarsal osteotomy is significantly more stable than other commonly used proximal (basilar) osteotomies, such as the proximal crescentic and the proximal chevron. High average static bending failure moments have been recorded for the screw fixation Ludloff osteotomy construct. The objective of the current study was to find a reasonable alternative method of fixation in cases where a short osteotomy may not be amenable to adequate screw fixation and in cases where an inadvertent intraoperative fracture of the metatarsal occurs and subsequent screw fixation is precarious due to inadequate bone stock. A Ludloff osteotomy was performed on 24 matched pairs of cadaveric specimens to compare the strength of fixation of three different types of Kirschner wires (smooth, threaded, and SOC threaded). Biomechanical testing with plantar force was carried out, and failure load and stiffness were measured for each specimen. The current results indicate that the threaded pin construct provides adequate strength for fixation of the Ludloff osteotomy in the clinical setting.
引用
收藏
页码:805 / 811
页数:7
相关论文
共 50 条
  • [21] Fixation strength of three different graft types used in posterior cruciate ligament reconstruction
    Chen, CH
    Chou, SW
    Chen, WJ
    Shih, CH
    KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2004, 12 (05) : 371 - 375
  • [22] Fixation strength of three different graft types used in posterior cruciate ligament reconstruction
    Chih-Hwa Chen
    Shih-Wei Chou
    Wen-Jer Chen
    Chun-Hsiung Shih
    Knee Surgery, Sports Traumatology, Arthroscopy, 2004, 12 : 371 - 375
  • [23] Comparison of three different fixation constructs for radial neck fractures: a biomechanical study
    Hongwei Chen
    Dengying Wu
    Tianlong Pan
    Jun Pan
    Rui Zhang
    Xuchao Shi
    Journal of Orthopaedic Surgery and Research, 12
  • [24] Comparison of three different fixation constructs for radial neck fractures: a biomechanical study
    Chen, Hongwei
    Wu, Dengying
    Pan, Tianlong
    Pan, Jun
    Zhang, Rui
    Shi, Xuchao
    JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2017, 12
  • [25] Crescentic distal metatarsal osteotomy for the treatment of hallux valgus: a prospective, randomized, controlled study of two different fixation methods
    Tonbul, Murat
    Baca, Emre
    Adas, Muejdat
    Ozbaydar, Mehmet Ugur
    Yurdoglu, H. Cihangir
    ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, 2009, 43 (06) : 497 - 503
  • [26] Comparison of the Stability of Mandibular Sagittal Osteotomy Fixation between Two Types of Titanium Miniplates: A Biomechanical Study in Sheep Mandibles
    Trento, Guilherme dos Santos
    Pires, Felipe Andrade
    dos Santos, Fabio Andre
    da Costa, Delson Joao
    Barbosa Rebellato, Nelson Luis
    Kluppel, Leandro Eduardo
    CRANIOMAXILLOFACIAL TRAUMA & RECONSTRUCTION, 2018, 11 (02) : 114 - 117
  • [27] Fixation methods in mandibular reconstruction using fibula grafts: A comparative study into the relative strength of three different types of osteosynthesis
    Strackee, SD
    Kroon, FHM
    Bos, KE
    HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2001, 23 (01): : 1 - 7
  • [28] Fixation of intraoperative proximal femoral fractures during THA using two versus three cerclage wires - a biomechanical study
    Toni Wendler
    Melanie Edel
    Robert Möbius
    Johannes Fakler
    Georg Osterhoff
    Dirk Zajonz
    BMC Musculoskeletal Disorders, 23
  • [29] Clinical outcomes of closed, displaced phalangeal neck fractures in children with different types of kirschner wire fixation: A retrospective observational study
    Wu, Chunxing
    Song, Jun
    Ning, Bo
    Mo, Yueqiang
    Wang, Dahui
    FRONTIERS IN PEDIATRICS, 2023, 11
  • [30] Evaluation of Different Fixation Methods Combinations After L-Shaped Osteotomy Reduction Malarplasty: An In Vitro Biomechanical Study
    Al-Watary, Mohammed Qasem
    Hao, Jiansuo
    He, Yingyou
    Song, Libin
    Gao, Heyou
    Alkebsi, Khaled
    Elayah, Saddam Ahmed
    Ye, Bin
    Li, Jihua
    AESTHETIC PLASTIC SURGERY, 2024, 48 (16) : 3170 - 3179