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
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