Download Manual of INTERNAL FIXATION: Techniques Recommended by the by Maurice E. Müller, Martin Allgöwer, Robert Schneider, Hans PDF

By Maurice E. Müller, Martin Allgöwer, Robert Schneider, Hans Willenegger, S.M. Perren

Legends to the Slide sequence / Legenden zur Diaserie

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Extra info for Manual of INTERNAL FIXATION: Techniques Recommended by the AO-ASIF Group

Example text

4 is assumed and if three screws are applied in each fragment, the surface undergoing a normal force of up to 3000 N per screw is able to resist more than 3600 N of tangentially applied force (on each side of the fracture) without sliding. Fig. 13 Gliding and nongliding splints. a Gliding splint: a medullary nail applied without interlocking allows the fragments to close a fracture gap which underwent surface resorption. b Non-gliding splint: under conditions similar to those shown in a, a plate (especially the round hole plate) does not allow gliding.

If the blood supply is adequate, the type of healing and the occurrence of delayed or non-union depend mainly upon mechanical conditions related to stability (see p. 16). , by exact adaptation and compression) minimizes the load to be carried by the implant. Stability of fixation is therefore a critical parameter with respect to implant fatigue and corrosion. The term stability offixation and the factors determining the degree of stability will therefore be discussed. The use of the term "stability" differs in medical and technical sciences.

Cm Mom def. o Kp I Omm y, ·W c 100". cm Mom / / / / I / Def. ,. y O~ .. Def. 35 Fig. 16 Compression exerted by the plate (continued). e Axial compression without prebending (top) results in compression near the plate only. Prebending without axial compression (center) results in adaptation of the far cortex only. The combination of axial compression and prebending (bottom) results in compression of the whole cross section. 36 Fig. 16 .. --. 'II III l~ - .. ::::'I ~ \ . ':;;;::;: = {~ ~ ......

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